National Provider Identifier Database

PLYMOUTH MA SNF LLC
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

PLYMOUTH MA SNF LLC
123 SOUTH STREET
PLYMOUTH, MA02360
Phone: 508-746-4343
Fax: 508-746-8240
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for PLYMOUTH MA SNF LLC

NPI Number 1477781359
Legal business name
LBN
PLYMOUTH MA SNF LLC
Authorized official PAUL KEMP - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 06/30/2009
Last updated 12/20/2012 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 0734
  • MA Medicaid: 110094527B

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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