Willow Manor

LBN: 30 Princeton Boulevard Operations Llc
Willow Manor is an health care organization with primary practice located at 30 Princeton Blvd , Lowell MA 01851-2405. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 30 Princeton Boulevard Operations Llc can be contacted via phone (978) 454-8086, or through Dropeskey, Jane via phone (610) 925-4231.

Contact Information

Primary practice address
30 Princeton Blvd Lowell MA 01851-2405
Phone: (978) 454-8086
Fax: (978) 453-9772
Website:
Map and Directions
Authorized official contact:
Name: Dropeskey, Jane
Phone: (610) 925-4231

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0701 Massachusetts

Profile Details

NPI number 1649452467
LBN Legal business name 30 Princeton Boulevard Operations Llc
DBA Doing business as Willow Manor
Authorized official Dropeskey, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Jul 19th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649452467 NPPES
Massachusetts MEDICAID 110089055A

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