Willows at Worcester LLC
NPI #1639342843 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1639342843
- Entity Type
- Organization
- Organization Name
- Willows at Worcester LLC
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Apr 9, 2008
- Last Updated
- Jan 20, 2012
Practice Location
- Address
- 101 BARRY RD
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01609-1154
- Phone
- (508) 798-3727
Authorized Official
- Name
- GARY SACON
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (508) 898-3490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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