Organization · Type 2 NPI

750 Woburn Street Operating Company, LLC

Skilled Nursing Facility · Wilmington, MA

NPI number 1144229873 Active

Practice location

750 Woburn Street
Wilmington, MA 01887

Fax (978) 658-6470

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	0911 (MA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1144229873
Entity type: Organization (Type 2)
Issued: Jul 15, 2005
Last updated: Dec 15, 2023
Status: Active

Other names

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Wilmington Health Care Center · doing business as
Wilmington Health Care Center · doing business as

Authorized official

Emily Vazquez
VP, Special Projects
(978) 930-6051

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144229873

750 Woburn Street Operating Company, LLC's National Provider Identifier is 1144229873, issued on Jul 15, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Wilmington, MA. The record was last updated on Dec 15, 2023.