Bear Mt West Roxbury, LLC
NPI #1689140428 in West Roxbury, Massachusetts
Provider Information
- NPI Number
- 1689140428
- Entity Type
- Organization
- Organization Name
- Bear Mt West Roxbury, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BEAR MOUNTAIN HEALTHCARE, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 19, 2018
- Last Updated
- Oct 19, 2018
Practice Location
- Address
- 5060 WASHINGTON ST
- City
- West Roxbury
- State
- Massachusetts
- ZIP Code
- 02132-4738
- Phone
- (617) 323-5440
Authorized Official
- Name
- JOHN WYNNE
- Title
- CFO
- Phone
- (203) 904-7462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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