22D2208794 CLIA NUMBER - BROADVIEW ASSISTED LIVING

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Laboratory Demographics

CLIA Number: 22D2208794

Facility Name: BROADVIEW ASSISTED LIVING

Facility Address:
547 CENTRAL ST
WINCHENDON, MA
ZIP 01475
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Facility Phone Number: 978 616-1871

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1952421141

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	22D2208794
LAB Type	Assisted Living Facility
Facility Name	BROADVIEW ASSISTED LIVING
Street	547 CENTRAL ST
City	WINCHENDON
State	MA
ZIP	01475
Phone	978 616-1871
CertificateType	4
CertificateEffectiveDate	1/8/2023
CertificateExpirationDate	1/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024