22D2278629 CLIA NUMBER - CRESCENT MANOR ASSISTED CARE, LLC

Laboratory Demographics

CLIA Number: 22D2278629

Facility Name: CRESCENT MANOR ASSISTED CARE, LLC

Facility Address:
5 CRESCENT ST
GRAFTON, MA
ZIP 01519
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Facility Phone Number: 508 847-5662

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1871587576

Taxonomy: 311Z00000X - Custodial Care Facility
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

CLIA Record

Field Name	Field Value
CLIA Number	22D2278629
LAB Type	Assisted Living Facility
Facility Name	CRESCENT MANOR ASSISTED CARE, LLC
Street	5 CRESCENT ST
City	GRAFTON
State	MA
ZIP	01519
Phone	508 847-5662
CertificateType	4
CertificateEffectiveDate	3/21/2023
CertificateExpirationDate	3/20/2025
FacilityType	Waiver

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