# TEWKSBURY LIVING GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wood Haven
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063077188
- **Authorized official:** MR. HENRY J VAUGHN (REIMBURSEMENT ANALYST)
- **Authorized official phone:** (240) 595-6025

## Contact information

- **Practice address:** 2580 MAIN ST, TEWKSBURY, MA 01876-3155
- **Practice address phone:** (978) 657-0800
- **Mailing address:** 2580 MAIN ST, TEWKSBURY, MA 01876-3155
- **Mailing address phone:** (978) 657-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2019
- **Last updated:** 05/03/2019