Organization
70 GRANITE STREET OPERATING COMPANY, LLC
Active
Other names
North Shore Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN P BRESLIN (EXECUTIVE VP)
(201) 242-4004
Entity
Organization
Contact information
Practice address
70 GRANITE ST, LYNN, MA 01904-2915
(781) 581-2400
(781) 581-3080
Mailing address
70 GRANITE ST, LYNN, MA 01904-2915
(781) 581-2400
(781) 581-3080
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0926884
—
MA
Enumeration date
07/15/2005
Last updated
08/22/2020
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