40 Martin Street Operator LLC

NPI #1336678630 in Melrose, Massachusetts

Provider Information

NPI Number
1336678630
Entity Type
Organization
Organization Name
40 Martin 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
40 MARTIN ST
ZIP Code
02176-3607
Phone
(781) 665-7050

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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