Organization
BROOKHAVEN ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAQAR TAJUDDIN (ADMINISTRATOR)
(617) 306-1900
Entity
Organization
Contact information
Practice address
19 W MAIN ST, WEST BROOKFIELD, MA 01585-2823
(508) 867-3325
Mailing address
19 W MAIN ST, WEST BROOKFIELD, MA 01585-2823
(617) 306-1900
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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