LIGHTHOUSE OF REVERE, INC.

Skilled Nursing Facility

Active Organization
NPI: 1699772376

Practice Address

204 PROCTOR AVE
Revere, MA 02151

Phone: (781) 286-3100

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 0880 (MA)

Frequently Asked Questions

NPI 1699772376 is the National Provider Identifier for LIGHTHOUSE OF REVERE, INC., a Skilled Nursing Facility provider located in Revere, MA. This NPI was enumerated on July 7, 2005.

Quick Facts

NPI
1699772376
Type
Organization
Enumerated
Jul 7, 2005
Last Updated
Jul 24, 2008

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