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Organization
COREY ASSISTED LIVING LLC
Active
Organization
COREY ASSISTED LIVING LLC
Active
Other names
Providence House Senior Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD JOHNSON (EXECUTIVE DIRECTOR)
(617) 731-0505
Entity
Organization
Contact information
Practice address
180 COREY RD, BRIGHTON, MA 02135-8239
(617) 731-0505
(617) 731-0599
Mailing address
180 COREY RD, BRIGHTON, MA 02135-8239
(617) 731-0505
(617) 731-0599
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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