Organization
WORCESTER LIGHT, LLC
Active
Other names
Anna Maria Rest Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE DASHEVSKY (OWNER)
(508) 756-1515
Entity
Organization
Contact information
Practice address
1398 MAIN ST, WORCESTER, MA 01603
(508) 756-1515
Mailing address
1398 MAIN ST, WORCESTER, MA 01603
(508) 756-1515
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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