Organization
BEAR MT NORTH ANDOVER, LLC
Active
Other names
Prescott House
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WYNNE JR. (MANAGING MEMBER)
(860) 880-8202
Entity
Organization
Contact information
Practice address
140 PRESCOTT ST, NORTH ANDOVER, MA 01845-1826
(978) 685-8086
Mailing address
130 S MAIN ST STE 207, THOMASTON, CT 06787-1741
(860) 880-8202
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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