750 Woburn Street Operating Company, Llc

NPI 1144229873 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1144229873
Enumeration Date 07/15/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name KEVIN P KEVIN
Position EXECUTIVE VP
Phone (978) 988-0888
Fax (978) 658-6470
Practice Location
750 WOBURN ST
WILMINGTON MA, 01887-3480, US
Phone (978) 988-0888
Fax (978) 658-6470
Business Location
750 WOBURN ST
WILMINGTON MA, 01887-3480, US
Phone (978) 988-0888
Fax (978) 658-6470
Toxanomy
Taxonomy Code 314000000X
License State Massachusetts
License Number 0911
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According to our database, 750 Woburn Street Operating Company, Llc NPI is 1144229873, taxonomy code is 314000000X and license number is 0911, license state is located at Massachusetts. 750 Woburn Street Operating Company, Llc physically located at 750 Woburn St, Wilmington MA, 01887-3480. NPI Number 1033115704 has the healthcare provider type.

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1144229873 NPI number is provided on an as is basis without warranty of any kind. 1144229873 is maintained by the National Plan & Provider Enumeration System. The contents of 750 Woburn Street Operating Company, Llc are for informational purposes only.