National Provider Identifier Database

SEASHORE POINTE REHAB CENTER LLC
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

SEASHORE POINTE REHAB CENTER LLC
100 ALDEN ST
PROVINCETOWN, MA02657-1456
Phone: 508-487-0771
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for SEASHORE POINTE REHAB CENTER LLC

NPI Number 1114594462
Legal business name
LBN
SEASHORE POINTE REHAB CENTER LLC
Authorized official DANIELLE TSITOS - (REGIONAL BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/07/2021
Last updated 06/07/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 110157998A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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