- Enrollment id
- O20170504000328
- Enrollment state
- MA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1447794433
- Multiple npi flag
- N
- Ccn
- 225505
- Associate id
- 1254616188
- Organization name
- LOWN ACQUISITION LLC
- Doing business as name
- ROYAL WOOD MILL CENTER
- Incorporation date
- 2016-09-22
- Incorporation state
- MA
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- ROYAL WOOD MILL NURSING AND REHABILITATION CENTER
- Affiliation entity name
- ROYAL HEALTH GROUP
- Affiliation entity id
- 457
- Address line 1
- 800 ESSEX ST
- City
- LAWRENCE
- State
- MA
- Zip code
- 018414617