383 Mill Street Operator LLC

NPI #1760911135 in Worcester, Massachusetts

Provider Information

NPI Number
1760911135
Entity Type
Organization
Organization Name
383 Mill 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
383 MILL ST
ZIP Code
01602-2414
Phone
(508) 791-8131

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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