Organization
KRE-BSL HUSKY WALTHAM OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN O'FLAHERTY (AUTHORIZED OFFICIAL)
(781) 489-7181
Entity
Organization
Contact information
Practice address
126 SMITH ST, WALTHAM, MA 02451-1300
(781) 466-9912
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
02/13/2020
Last updated
02/13/2020
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