Bear Mt Mattapan, LLC
NPI #1982179610 in Mattapan, Massachusetts
Provider Information
- NPI Number
- 1982179610
- Entity Type
- Organization
- Organization Name
- Bear Mt Mattapan, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BEAR MOUNTAIN HEALTHCARE, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 9, 2018
- Last Updated
- Oct 9, 2018
Practice Location
- Address
- 405 RIVER ST
- City
- Mattapan
- State
- Massachusetts
- ZIP Code
- 02126-2210
- Phone
- (617) 296-5585
Authorized Official
- Name
- MR. JOHN WYNNE
- Title
- CFO
- Phone
- (203) 904-7462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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