Shi-Iii Wrentham LLC
NPI #1811465974 in Wrentham, Massachusetts
Provider Information
- NPI Number
- 1811465974
- Entity Type
- Organization
- Organization Name
- Shi-Iii Wrentham LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 7, 2018
- Last Updated
- Aug 4, 2020
Practice Location
- Address
- 30 LEDGEVIEW WAY
- Address 2
- ATTN: EXECUTIVE DIRECTOR OR DBA
- City
- Wrentham
- State
- Massachusetts
- ZIP Code
- 02093
- Phone
- (774) 210-8108
Authorized Official
- Name
- MR. RAYMOND DIOGUARDI
- Title
- COO/CFO
- Phone
- (516) 496-1505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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