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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