Organization
CRESCENT MANOR ASSISTED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRSHAD SIDEEKA (MANAGER/MEMBER)
(617) 751-0444
Entity
Organization
Contact information
Practice address
5 CRESCENT ST, GRAFTON, MA 01519-1221
(508) 839-2124
Mailing address
38 WELCH RD, BROOKLINE, MA 02445-7526
(161) 775-1044
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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