Bear Mt Mattapan, LLC
Skilled Nursing Facility in Mattapan, MA. Organization (NPI-2).
NPI number1982179610
StatusActive
Last updated in NPPESOct 9, 2018
Details
- NPI
- 1982179610
- Entity type
- Organization (NPI-2)
- Legal business name
- Bear Mt Mattapan, LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 9, 2018
- Last updated
- Oct 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Mattapan Health & Rehabilitation Center (Doing Business As)
Practice location
405 River StMattapan, MA 02126-2210
Phone 617-296-5585
Mailing address
13 S Main StThomaston, CT 06787-1735
Phone 203-904-7462
Authorized official
John Wynne
Cfo
2039047462
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