Bear Mt East Longmeadow LLC
NPI #1467912105 in East Longmeadow, Massachusetts
Provider Information
- NPI Number
- 1467912105
- Entity Type
- Organization
- Organization Name
- Bear Mt East Longmeadow LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 20, 2019
- Last Updated
- Mar 20, 2019
Practice Location
- Address
- 32 CHESTNUT ST
- City
- East Longmeadow
- State
- Massachusetts
- ZIP Code
- 01028-2803
- Phone
- (413) 525-1893
Authorized Official
- Name
- JOHN WYNNE JR.
- Title
- MEMBER/CFO
- Phone
- (860) 880-8202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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