1190 Adams Opco LLC
Assisted Living Facility in Boston, MA. Organization (NPI-2).
NPI number1750143384
StatusActive
Last updated in NPPESJan 29, 2024
Details
- NPI
- 1750143384
- Entity type
- Organization (NPI-2)
- Legal business name
- 1190 Adams Opco LLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2024
- Certification date
- Jan 29, 2024
- Last updated
- Jan 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
1190 Adams StBoston, MA 02124-5772
Phone 617-298-5656
Mailing address
4500 Dorr StToledo, OH 43615-4040
Authorized official
Sharon Makowsky
Authorized Representative
4192472800
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