Organization
GREATER WALTHAM ARC, INC.
Active
Parent organization
GREATER WALTHAM ARC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER WALTHAM ARC, INC.
Authorized official
JOHN WISWALL (CHIEF FINANCIAL OFFICER)
(781) 899-1344
Entity
Organization
Contact information
Practice address
56 CHESTNUT ST, WALTHAM, MA 02453-4433
(781) 899-1344
(781) 899-2197
Mailing address
56 CHESTNUT ST, WALTHAM, MA 02453-4433
(781) 899-1344
(781) 899-2197
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027946D
—
MA
Enumeration date
11/16/2011
Last updated
11/16/2011
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