76 North Street Operator LLC

NPI #1700315173 in Middleboro, Massachusetts

Provider Information

NPI Number
1700315173
Entity Type
Organization
Organization Name
76 North Street Operator LLC
Subpart
Yes (part of a larger organization)
Parent Organization
NEXT STEP HEALTHCARE LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 8, 2017
Last Updated
Jun 8, 2017

Practice Location

Address
76 NORTH ST
ZIP Code
02346-1619
Phone
(508) 947-4774

Authorized Official

Name
WILLIAM HOWARD STEPHAN
Title
CHIEF FINANCIAL OFFICER
Phone
(617) 943-7747

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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