Organization · Type 2 NPI

Plymouth Ma Snf, LLC

Pediatric Skilled Nursing Facility · Plymouth, MA

NPI number 1366858201 Active

Practice location

123 South St
Plymouth, MA 02360-2945

Fax (508) 746-8240

Specialties and licenses

Taxonomy	Code	License
Pediatric Skilled Nursing Facility Primary	3140N1450X	0734 (MA)

Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

2 other providers at this address

Other pediatric skilled nursing facility providers in Plymouth

Plymouth Ma SNF LLCPediatric Skilled Nursing Facility Plymouth, MA NPI 1831327717

See all in Plymouth →

NPI record

NPI: 1366858201
Entity type: Organization (Type 2)
Issued: Jul 10, 2014
Last updated: Feb 16, 2023
Status: Active
Subpart: Yes of Athena Health Care Associates

Other names

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Plymouth Rehab & Health Care Center · doing business as
Plymouth Rehab & Health Care Center · doing business as

Authorized official

Lawrence G Santilli
Managing Member
(860) 751-3900

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About NPI 1366858201

Plymouth Ma Snf, LLC's National Provider Identifier is 1366858201, issued on Jul 10, 2014. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Plymouth, MA. The record was last updated on Feb 16, 2023.