# GREATER WALTHAM ARC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREATER WALTHAM ARC, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629355847
- **Legal business name:** GREATER WALTHAM ARC, INC.
- **Authorized official:** JOHN WISWALL (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (781) 899-1344

## Contact information

- **Practice address:** 56 CHESTNUT ST, WALTHAM, MA 02453-4433
- **Practice address phone:** (781) 899-1344
- **Practice address fax:** (781) 899-2197
- **Mailing address:** 56 CHESTNUT ST, WALTHAM, MA 02453-4433
- **Mailing address phone:** (781) 899-1344
- **Mailing address fax:** (781) 899-2197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2011
- **Last updated:** 11/16/2011