Organization
WV-CONCORD SNF OPCO, LLC
Active
Parent organization
WACHUSETT VENTURES, LLC
Other names
Walden Health and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WACHUSETT VENTURES, LLC
Authorized official
MR. RAYMOND A. DENNEHY III (PRINCIPAL)
(978) 886-3336
Entity
Organization
Contact information
Practice address
785 MAIN ST, CONCORD, MA 01742-3310
(978) 369-6889
Mailing address
36 WASHINGTON ST, SUITE 190, WELLESLEY HILLS, MA 02481-1900
(781) 943-3104
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110100396A
—
MA
Enumeration date
10/05/2016
Last updated
10/05/2016
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