Organization
ST. BOTOLPH ASSISTED LIVING LIMITED PARTNERSHIP
Active
Other names
Susan S. Bailis Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE FULLER-JONES (EXECUTIVE DIRECTOR)
(617) 247-1010
Entity
Organization
Contact information
Practice address
352 MASSACHUSETTS AVE, BOSTON, MA 02115-4950
(617) 247-1010
Mailing address
352 MASSACHUSETTS AVE, BOSTON, MA 02115-4950
(617) 247-1010
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1906127
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1906127
MASS HEALTH
MA
Enumeration date
02/13/2007
Last updated
08/22/2020
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