Organization
30 PRINCETON OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIYAHU MIRLIS (AUTHORIZED REPRESENTATIVE)
(973) 796-6175
Entity
Organization
Contact information
Practice address
30 PRINCETON BLVD, LOWELL, MA 01851-2405
(978) 454-8086
Mailing address
30 PRINCETON BLVD, LOWELL, MA 01851-2405
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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