South Boston Nursing LLC
NPI #1740269893 in South Boston, Massachusetts
Provider Information
- NPI Number
- 1740269893
- Entity Type
- Organization
- Organization Name
- South Boston Nursing LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 16, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 804 E 7TH ST
- City
- South Boston
- State
- Massachusetts
- ZIP Code
- 02127-4346
- Phone
- (617) 268-8968
Authorized Official
- Name
- MR. BRAD ROLPH
- Title
- CFO
- Phone
- (781) 297-8626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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| Provider Name | |
|---|---|
| MS. Emily Elizabeth Martin, PTA |
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| 804 East 7th Street Operator LLC | |
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