312 Millbury Avenue Operating Company, LLC
NPI #1942209721 in Millbury, Massachusetts
Provider Information
- NPI Number
- 1942209721
- Entity Type
- Organization
- Organization Name
- 312 Millbury Avenue Operating Company, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 14, 2005
- Last Updated
- Dec 15, 2023
Practice Location
- Address
- 312 MILLBURY AVENUE
- City
- Millbury
- State
- Massachusetts
- ZIP Code
- 01529
- Phone
- (508) 793-0088
Authorized Official
- Name
- EMILY VAZQUEZ
- Title
- VP, SPECIAL PROJECTS
- Phone
- (978) 930-6051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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