<Unavail>

LBN: Mcfadden Memorial Manor
<Unavail> is an health care organization with primary practice located at 341 Forest St , Malden MA 02148-1604. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Mcfadden Memorial Manor can be contacted via phone (781) 322-1700, or through Dixon, Gary Richard via phone (781) 322-1701.

Contact Information

Primary practice address
341 Forest St Malden MA 02148-1604
Phone: (781) 322-1700
Fax: (781) 397-7375
Website:
Map and Directions
Authorized official contact:
Name: Dixon, Gary Richard
Phone: (781) 322-1701

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0686 Massachusetts

Profile Details

NPI number 1003943515
LBN Legal business name Mcfadden Memorial Manor
DBA Doing business as <Unavail>
Authorized official Dixon, Gary Richard
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Aug 6th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003943515 NPPES
Massachusetts MEDICAID 0907731

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