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DAGGETT CRANDLL NEWCOMB HOME NPI 1891954103


NPI Information

NPI: 1891954103
Provider Name: DAGGETT CRANDLL NEWCOMB HOME
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 22D0081986

Address:
55 NEWLAND ST
NORTON, MA
ZIP 02766
Phone: (508) 285-3264
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DAGGETT CRANDLL NEWCOMB HOME is an assisted living facility in Norton, MA. The provider is 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. DAGGETT CRANDLL NEWCOMB HOME NPI is 1891954103. The provider is registered as an organization entity type.

The provider's business location address is:

55 NEWLAND ST
NORTON, MA
ZIP 02766-900
Phone: (508) 285-3264
Fax: (508) 285-2766

The provider's authorized official is Cheryl L Theriault .
The authorized official title is Executive Director and has the following contact phone number (508) 285-3264.

The CLIA number assigned to this NPI record is 22D0081986 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2008 and was last updated on 6/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility1189MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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