Provider Demographics
NPI:1740974344
Name:SARAWOOD
Entity type:Organization
Organization Name:SARAWOOD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:SONN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:413-532-7879
Mailing Address - Street 1:1 LOOMIS AVE
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2011
Mailing Address - Country:US
Mailing Address - Phone:413-532-7879
Mailing Address - Fax:
Practice Address - Street 1:1 LOOMIS AVE
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2011
Practice Address - Country:US
Practice Address - Phone:413-532-7879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-06
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility