Provider Demographics
NPI:1053307728
Name:FARMINGTON LTD PARTNERSHIP
Entity Type:Organization
Organization Name:FARMINGTON LTD PARTNERSHIP
Other - Org Name:LANDMARK AT FALL RIVER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:508-324-7960
Mailing Address - Street 1:400 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-1500
Mailing Address - Country:US
Mailing Address - Phone:508-324-7960
Mailing Address - Fax:508-324-7961
Practice Address - Street 1:400 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-1500
Practice Address - Country:US
Practice Address - Phone:508-324-7960
Practice Address - Fax:508-324-7961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1903845OtherMASS HEALTH PROVIDER #