Organization
MISHAWUM ASSISTED LIVING ASSOC., LLC
Active
Other names
Zelma Lacey House
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET DRISCOLL (EXECUTIVE DIRECTOR)
(617) 241-0328
Entity
Organization
Contact information
Practice address
9 W SCHOOL ST, CHARLESTOWN, MA 02129-2902
(617) 241-0328
(617) 241-0329
Mailing address
9 W SCHOOL ST, CHARLESTOWN, MA 02129-2902
(617) 241-0328
(617) 241-0329
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900561
—
MA
Enumeration date
04/10/2007
Last updated
08/22/2020
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