Organization
TEWKSBURY LIVING GROUP, LLC
Active
Other names
Wood Haven
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY J VAUGHN (REIMBURSEMENT ANALYST)
(240) 595-6025
Entity
Organization
Contact information
Practice address
2580 MAIN ST, TEWKSBURY, MA 01876-3155
(978) 657-0800
Mailing address
2580 MAIN ST, TEWKSBURY, MA 01876-3155
(978) 657-0800
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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