675 South Main Street Operating Company, LLC
NPI #1306646088 in Sharon, Massachusetts
Provider Information
- NPI Number
- 1306646088
- Entity Type
- Organization
- Organization Name
- 675 South Main Street Operating Company, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 13, 2025
- Last Updated
- Mar 13, 2025
Practice Location
- Address
- 675 S MAIN ST
- City
- Sharon
- State
- Massachusetts
- ZIP Code
- 02067-2834
- Phone
- (781) 784-0111
Authorized Official
- Name
- BRIAN WACHT
- Title
- AUTHORIZED SIGNER
- Phone
- (312) 354-0255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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