NPI 1366612905

Health and Education Services

Organisation Mental Illness Intermediate Care Facility Haverhill, MA

Practice location

Address: 60 Merrimack St, Haverhill, MA 01830-6207
Phone: (978) 373-1126
Fax: (978) 373-6363

Authorised official

Name: Gwen E Owen
Title: Geriatric Clinician
Phone: (978) 373-1126

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 113175 (MA)

Other Intermediate Care Facility, Mental Illness providers in Massachusetts →

Registry record

NPI: 1366612905
Entity type: Organization
NPI issued: 11 Mar 2008
Record last updated: 11 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.