519 Main St., Inc.
NPI #1710048525 in Medfield, Massachusetts
Provider Information
- NPI Number
- 1710048525
- Entity Type
- Organization
- Organization Name
- 519 Main St., Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Dec 16, 2011
Practice Location
- Address
- 519 MAIN ST
- City
- Medfield
- State
- Massachusetts
- ZIP Code
- 02052-2522
- Phone
- (508) 359-6050
Authorized Official
- Name
- PETER H. THISSE
- Title
- CONTROLLER
- Phone
- (781) 762-0703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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