NPI 1003462276
Brookhaven Assisted Living LLC
Practice location
- Address
- 19 W Main St, West Brookfield, MA 01585-2823
- Phone
- (508) 867-3325
Authorised official
- Name
- Waqar Tajuddin
- Title
- Administrator
- Phone
- (617) 306-1900
Registered specialties
Custodial Care Facility
Primary
Registry record
- NPI
- 1003462276
- Entity type
- Organization
- NPI issued
- 14 Aug 2019
- Record last updated
- 14 Aug 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.