Organization
GREENE WELLNESS AND REHAB CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHIE HERNANDEZ (MANAGER)
(781) 284-4001
Entity
Organization
Contact information
Practice address
708 BROADWAY, REVERE, MA 02151-2334
(781) 284-4001
(781) 284-4116
Mailing address
708 BROADWAY, REVERE, MA 02151-2334
(781) 284-4001
(781) 284-4116
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
692
MA
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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