Organization
BEAR MT NEWBURYPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WYNNE (MEMBER/CFO)
(860) 880-8202
Entity
Organization
Contact information
Practice address
77 HIGH ST, NEWBURYPORT, MA 01950-3071
(860) 880-8202
Mailing address
130 S MAIN ST, THOMASTON, CT 06787-1741
(860) 880-8202
(860) 880-8205
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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