199 Andover Street Operating Company, LLC
NPI #1770581555 in Peabody, Massachusetts
Provider Information
- NPI Number
- 1770581555
- Entity Type
- Organization
- Organization Name
- 199 Andover Street Operating Company, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 14, 2005
- Last Updated
- Dec 15, 2023
Practice Location
- Address
- 199 ANDOVER STREET ROUTE 114W
- City
- Peabody
- State
- Massachusetts
- ZIP Code
- 01960
- Phone
- (978) 531-0772
Authorized Official
- Name
- EMILY VAZQUEZ
- Title
- VP, SPECIAL PROJECTS
- Phone
- (978) 930-6051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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