Organization
B-X AGAWAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GRAPE (MANAGER)
(781) 489-7100
Entity
Organization
Contact information
Practice address
153 CARDINAL DR, AGAWAM, MA 01001-2182
(413) 821-9911
Mailing address
153 CARDINAL DR, AGAWAM, MA 01001-2182
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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