Webster Light LLC
NPI #1780821538 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1780821538
- Entity Type
- Organization
- Organization Name
- Webster Light LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jan 15, 2009
- Last Updated
- Jan 15, 2009
Practice Location
- Address
- 1398 MAIN ST
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01603-1524
- Phone
- (617) 407-2463
Authorized Official
- Name
- STEVE LEON DASHEVSKY
- Title
- OWNER
- Phone
- (617) 407-2463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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