Worcester Light, LLC
NPI #1245475847 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1245475847
- Entity Type
- Organization
- Organization Name
- Worcester Light, LLC
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Dec 10, 2008
- Last Updated
- Dec 10, 2008
Practice Location
- Address
- 1398 MAIN ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01603
- Phone
- (508) 756-1515
Authorized Official
- Name
- MR. STEVE DASHEVSKY
- Title
- OWNER
- Phone
- (508) 756-1515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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