Marian Manor, for the Aged and Infirm, Inc.
NPI #1821195165 in South Boston, Massachusetts
Provider Information
- NPI Number
- 1821195165
- Entity Type
- Organization
- Organization Name
- Marian Manor, for the Aged and Infirm, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Mar 31, 2015
Practice Location
- Address
- 130 DORCHESTER STREET
- City
- South Boston
- State
- Massachusetts
- ZIP Code
- 02127-2642
- Phone
- (617) 268-3333
Authorized Official
- Name
- MR. DOUGLAS A. MILLER
- Title
- CFO
- Phone
- (617) 268-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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