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Organization
1190 ADAMS OPCO LLC
Active
Organization
1190 ADAMS OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON MAKOWSKY (AUTHORIZED REPRESENTATIVE)
(419) 247-2800
Entity
Organization
Contact information
Practice address
1190 ADAMS ST, BOSTON, MA 02124-5772
(617) 298-5656
Mailing address
4500 DORR ST, TOLEDO, OH 43615-4040
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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