Provider Demographics
NPI:1669676433
Name:FRAMINGHAM REHABILITATION CENTER
Entity Type:Organization
Organization Name:FRAMINGHAM REHABILITATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCC-SLP
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:B
Authorized Official - Last Name:BASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:508-381-1952
Mailing Address - Street 1:18 RADCLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-1212
Mailing Address - Country:US
Mailing Address - Phone:508-381-1952
Mailing Address - Fax:508-381-0250
Practice Address - Street 1:18 RADCLIFFE DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-1212
Practice Address - Country:US
Practice Address - Phone:508-381-1952
Practice Address - Fax:508-381-0250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MASLP76314000000X
MA76SLP314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility