Greene Wellness and Rehab Center Llc.
NPI #1982158374 in Revere, Massachusetts
Provider Information
- NPI Number
- 1982158374
- Entity Type
- Organization
- Organization Name
- Greene Wellness and Rehab Center Llc.
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Aug 15, 2016
- Last Updated
- Aug 15, 2016
Practice Location
- Address
- 708 BROADWAY
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-2334
- Phone
- (781) 284-4001
Authorized Official
- Name
- MR. RICHIE HERNANDEZ
- Title
- MANAGER
- Phone
- (781) 284-4001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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