Wg Longmeadow Place Sh, LLC
NPI #1962841031 in Burlington, Massachusetts
Provider Information
- NPI Number
- 1962841031
- Entity Type
- Organization
- Organization Name
- Wg Longmeadow Place Sh, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 21, 2013
- Last Updated
- Jun 21, 2013
Practice Location
- Address
- 42 MALL RD
- City
- Burlington
- State
- Massachusetts
- ZIP Code
- 01803-4568
- Phone
- (781) 270-9008
Authorized Official
- Name
- W. BRYAN HUDSON
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (502) 779-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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