184 Main LLC
NPI #1902817299 in Fairhaven, Massachusetts
Provider Information
- NPI Number
- 1902817299
- Entity Type
- Organization
- Organization Name
- 184 Main LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 11, 2006
- Last Updated
- Oct 28, 2013
Practice Location
- Address
- 184 MAIN STREET
- City
- Fairhaven
- State
- Massachusetts
- ZIP Code
- 02719
- Phone
- (508) 997-3193
Authorized Official
- Name
- PAULA REID
- Title
- CONTROLLER
- Phone
- (508) 743-8159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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