Gahcr II Hyde Park Snf Trs Sub, LLC
NPI #1063838282 in Hyde Park, Massachusetts
Provider Information
- NPI Number
- 1063838282
- Entity Type
- Organization
- Organization Name
- Gahcr II Hyde Park Snf Trs Sub, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 12, 2014
- Last Updated
- Jan 29, 2021
Practice Location
- Address
- 113 CENTRAL AVE
- City
- Hyde Park
- State
- Massachusetts
- ZIP Code
- 02136-3021
- Phone
- (617) 361-2388
Authorized Official
- Name
- RICHARD C. BANE
- Title
- OWNER/MEMBER
- Phone
- (781) 474-2263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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