Provider Demographics
NPI:1417942004
Name:SEAVIEW RETREAT INC
Entity Type:Organization
Organization Name:SEAVIEW RETREAT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:COMLEY
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:978-948-2552
Mailing Address - Street 1:50 MANSION DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1026
Mailing Address - Country:US
Mailing Address - Phone:978-948-2552
Mailing Address - Fax:978-948-2561
Practice Address - Street 1:50 MANSION DR
Practice Address - Street 2:
Practice Address - City:ROWLEY
Practice Address - State:MA
Practice Address - Zip Code:01969-1026
Practice Address - Country:US
Practice Address - Phone:978-948-2552
Practice Address - Fax:978-948-2561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0277314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110026048BMedicaid
MA110026048BMedicaid