Provider Demographics
NPI:1497890685
Name:ROMAR HEALTH CORP.
Entity Type:Organization
Organization Name:ROMAR HEALTH CORP.
Other - Org Name:WILLOWBROOK MANOR REST HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAGER
Authorized Official - Suffix:
Authorized Official - Credentials:BA HS
Authorized Official - Phone:508-376-5083
Mailing Address - Street 1:71 UNION ST
Mailing Address - Street 2:
Mailing Address - City:MILLIS
Mailing Address - State:MA
Mailing Address - Zip Code:02054-1269
Mailing Address - Country:US
Mailing Address - Phone:508-376-5083
Mailing Address - Fax:508-376-8345
Practice Address - Street 1:71 UNION ST
Practice Address - Street 2:
Practice Address - City:MILLIS
Practice Address - State:MA
Practice Address - Zip Code:02054-1269
Practice Address - Country:US
Practice Address - Phone:508-376-5083
Practice Address - Fax:508-376-8345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home