Organization · Type 2 NPI

Lighthouse of Revere, Inc.

Skilled Nursing Facility · Revere, MA

NPI number 1699772376 Active

Practice location

204 Proctor Ave
Revere, MA 02151-4923

Call (781) 286-3100 Map

Fax (781) 286-4109

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X0880 (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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About NPI 1699772376

Lighthouse of Revere, Inc.'s National Provider Identifier is 1699772376, issued on Jul 7, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Revere, MA. The record was last updated on Jul 24, 2008.