405 River Street Operating Company, LLC
NPI #1609733757 in Mattapan, Massachusetts
Provider Information
- NPI Number
- 1609733757
- Entity Type
- Organization
- Organization Name
- 405 River Street Operating Company, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 8, 2026
- Last Updated
- Jan 8, 2026
Practice Location
- Address
- 405 RIVER ST
- City
- Mattapan
- State
- Massachusetts
- ZIP Code
- 02126-2210
- Phone
- (617) 296-5585
Authorized Official
- Name
- JEFFREY RUBIN
- Title
- AUTHORIZED OFFICIAL
- Phone
- (516) 413-6321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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