Bane Colonial, LLC
NPI #1275980526 in Weymouth, Massachusetts
Provider Information
- NPI Number
- 1275980526
- Entity Type
- Organization
- Organization Name
- Bane Colonial, LLC
- Primary Specialty
- Clinic/Center - Adult Day Care
- Enumeration Date
- May 17, 2016
- Last Updated
- Jul 8, 2016
Practice Location
- Address
- 125 BROAD ST
- City
- Weymouth
- State
- Massachusetts
- ZIP Code
- 02188-2336
- Phone
- (781) 337-3121
Authorized Official
- Name
- MR. HARRISON BANE
- Title
- VICE PRESIDENT OF OPERATIONS
- Phone
- (781) 878-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Day Care — Adult Day Care |
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