Src Weston, LLC
NPI #1992179667 in Weston, Massachusetts
Provider Information
- NPI Number
- 1992179667
- Entity Type
- Organization
- Organization Name
- Src Weston, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Nov 18, 2015
- Last Updated
- Nov 18, 2015
Practice Location
- Address
- 75 NORUMBEGA RD
- City
- Weston
- State
- Massachusetts
- ZIP Code
- 02493-2431
- Phone
- (781) 891-6100
Authorized Official
- Name
- TAMILYN LEVIN
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (781) 707-9510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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