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Organization
ST. BOTOLPH ASSISTED LIVING LIMITED PARTNERSHIP
Active
Organization
ST. BOTOLPH ASSISTED LIVING LIMITED PARTNERSHIP
Active
Other names
Susan S. Bailis Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE FULLER-JONES (EXECUTIVE DIRECTOR)
(617) 247-1010
Entity
Organization
Contact information
Practice address
352 MASSACHUSETTS AVE, BOSTON, MA 02115-4950
(617) 247-1010
Mailing address
352 MASSACHUSETTS AVE, BOSTON, MA 02115-4950
(617) 247-1010
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1906127
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1906127
MASS HEALTH
MA
Enumeration date
02/13/2007
Last updated
08/22/2020
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