84 Elm St., Inc.
NPI #1639230584 in Holliston, Massachusetts
Provider Information
- NPI Number
- 1639230584
- Entity Type
- Organization
- Organization Name
- 84 Elm St., Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Dec 16, 2011
Practice Location
- Address
- 84 ELM ST
- City
- Holliston
- State
- Massachusetts
- ZIP Code
- 01746-2138
- Phone
- (508) 429-4566
Authorized Official
- Name
- PETER H. THISSE
- Title
- CONTROLLER
- Phone
- (781) 762-0703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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