Organization
1102 WASHINGTON STREET OPERATOR LLC
Active
Other names
Braintree Manor HealthCare
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H STEPHAN (CFO)
(617) 943-7747
Entity
Organization
Contact information
Practice address
1102 WASHINGTON ST, BRAINTREE, MA 02184-5438
(781) 848-3100
Mailing address
1102 WASHINGTON ST, BRAINTREE, MA 02184-5438
(781) 848-3100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
07/21/2022
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