Organization
SIDE BY SIDE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN ANTONY D'ANTONIO (OWNER)
(413) 443-4274
Entity
Organization
Contact information
Practice address
120 ONOTA ST, PITTSFIELD, MA 01201-3135
(413) 443-4274
(413) 443-0715
Mailing address
120 ONOTA ST, PITTSFIELD, MA 01201-3135
(413) 443-4274
(413) 443-0715
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
251
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1906330
MASSHEALTH PROVIDER NUMBE
MA
Enumeration date
03/09/2007
Last updated
08/22/2020
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