Organization
KRE LEOMINSTER LICENSEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GRAPE (PRESIDENT)
(781) 489-7100
Entity
Organization
Contact information
Practice address
1160 MAIN ST, LEOMINSTER, MA 01453-8709
(978) 254-1942
Mailing address
201 JONES RD STE 300, WALTHAM, MA 02451-1618
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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