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Contact Information

ALLIANCE HEALTH OF WRENTHAM, INC.
90 TAUNTON ST
WRENTHAM, MA02093-1349
 Phone: 508-384-7977
 Fax: 508-384-3208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Care, Pediatric

3140N1450X
Indicates primary specialty

NPI Profile & details for ALLIANCE HEALTH OF WRENTHAM, INC.

NPI Number 1790119212
LBN Legal business name ALLIANCE HEALTH OF WRENTHAM, INC.
Authorized official PAUL KEMP - (TREASURER AND CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/03/2013
Last updated 08/27/2024 - More than a year ago
Identifiers
MA License # 225476
MA Medicaid 110190086A
MA Other 225476 UNSPECIFIED
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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