Wg Marland Place Sh, Llc

NPI 1558700765 - Assisted Living Facility - 310400000X

NPI Details
NPI 1558700765
Enumeration Date 06/20/2013
Last Updated 06/20/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name W. BRYAN W.
Position AUTHORIZED REPRESENTATIVE
Phone (978) 475-4225
Fax (978) 475-5818
Practice Location
15 STEVENS ST
ANDOVER MA, 01810-3599, US
Phone (978) 475-4225
Fax (978) 475-5818
Business Location
401 S 4TH ST
SUITE 1900, ATTN: LEGAL DEPT.
LOUISVILLE KY, 40202-3426, US
Phone (502) 779-4700
Fax (502) 779-4749
Toxanomy
Taxonomy Code 310400000X
License State Massachusetts
License Number NONE ISSUED
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According to our database, Wg Marland Place Sh, Llc NPI is 1558700765, taxonomy code is 310400000X and license number is NONE ISSUED, license state is located at Massachusetts. Wg Marland Place Sh, Llc physically located at 15 Stevens St, Andover MA, 01810-3599. NPI Number 1033115704 has the healthcare provider type.

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1558700765 NPI number is provided on an as is basis without warranty of any kind. 1558700765 is maintained by the National Plan & Provider Enumeration System. The contents of Wg Marland Place Sh, Llc are for informational purposes only.