Wg Marland Place Sh, LLC
NPI #1558700765 in Andover, Massachusetts
Provider Information
- NPI Number
- 1558700765
- Entity Type
- Organization
- Organization Name
- Wg Marland Place Sh, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 20, 2013
- Last Updated
- Jun 20, 2013
Practice Location
- Address
- 15 STEVENS ST
- City
- Andover
- State
- Massachusetts
- ZIP Code
- 01810-3599
- Phone
- (978) 475-4225
Authorized Official
- Name
- W. BRYAN HUDSON
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (502) 779-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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