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Kre Husky Waltham Licensee LLC

Assisted Living Facility in Waltham, MA. Organization (NPI-2).

NPI number1013575752
StatusActive
Last updated in NPPESMay 29, 2019

Details

NPI
1013575752
Entity type
Organization (NPI-2)
Legal business name
Kre Husky Waltham Licensee LLC
Organization subpart
No
Enumeration date
May 29, 2019
Last updated
May 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

126 Smith St
Waltham, MA 02451-1300

Phone 781-609-7996

Mailing address

201 Jones Rd Fl 3
Waltham, MA 02451-1600

Authorized official

Thomas H. Grape
President
7814897100

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