Kre Husky Waltham Licensee LLC
NPI #1013575752 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1013575752
- Entity Type
- Organization
- Organization Name
- Kre Husky Waltham Licensee LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 29, 2019
- Last Updated
- May 29, 2019
Practice Location
- Address
- 126 SMITH ST
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02451-1300
- Phone
- (781) 609-7996
Authorized Official
- Name
- MR. THOMAS H. GRAPE
- Title
- PRESIDENT
- Phone
- (781) 489-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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