743 Main Street Operator LLC
NPI #1194254565 in Melrose, Massachusetts
Provider Information
- NPI Number
- 1194254565
- Entity Type
- Organization
- Organization Name
- 743 Main Street Operator LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NEXT STEP HEALTHCARE LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 8, 2017
- Last Updated
- Jun 8, 2017
Practice Location
- Address
- 743 MAIN ST
- City
- Melrose
- State
- Massachusetts
- ZIP Code
- 02176-2707
- Phone
- (781) 662-7500
Authorized Official
- Name
- WILLIAM HOWARD STEPHAN
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (617) 943-7747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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