64 Performance Drive Operating Company, LLC
NPI #1831198555 in Weymouth, Massachusetts
Provider Information
- NPI Number
- 1831198555
- Entity Type
- Organization
- Organization Name
- 64 Performance Drive Operating Company, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 14, 2005
- Last Updated
- Dec 15, 2023
Practice Location
- Address
- 64 PERFORMANCE DR.
- City
- Weymouth
- State
- Massachusetts
- ZIP Code
- 02189
- Phone
- (781) 340-9800
Authorized Official
- Name
- EMILY VAZQUEZ
- Title
- VP, SPECIAL PROJECTS
- Phone
- (978) 930-6051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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