Organization
KRE HUSKY YARMOUTH LICENSEE LLC
Active
Organization
KRE HUSKY YARMOUTH LICENSEE LLC
Active
Other names
Bay Square at Yarmouth
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GRAPE (PRESIDENT)
(781) 489-7100
Entity
Organization
Contact information
Practice address
27 FOREST FALLS DR, YARMOUTH, ME 04096-6972
(206) 447-9075
Mailing address
201 JONES RD STE 300, WALTHAM, MA 02451-1618
(781) 489-7100
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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