Prospect House
NPI #1962625392 in Revere, Massachusetts
Provider Information
- NPI Number
- 1962625392
- Entity Type
- Organization
- Organization Name
- Prospect House
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 420 RESERVOIR AVE
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-5819
- Phone
- (781) 853-0005
Authorized Official
- Name
- SHAWN BERTRAM
- Title
- EXECUTIVE DIRECTOR
- Phone
- (781) 853-0005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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