Organization
NSL EAST VILLAGE PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY TROXELL (CHIEF OPERATIONS OFFICER)
(520) 797-4000
Entity
Organization
Contact information
Practice address
50 BENTON DR, EAST LONGMEADOW, MA 01028-2707
(413) 525-8150
Mailing address
50 BENTON DR, EAST LONGMEADOW, MA 01028-2707
(413) 525-8150
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456658748
—
MA
Enumeration date
04/06/2007
Last updated
08/22/2020
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