NPI 1013032861

B-Xii Waltham LLC

Organisation Assisted Living Facility Waltham, MA

Practice location

Address: 126 Smith St, Waltham, MA 02451-1300
Phone: (781) 466-9912
Fax: (781) 466-9914
Mailing address: 40 William St Suite 350, Wellesley, MA 02481-3999

Authorised official

Name: Gayle Crenshaw
Title: Senior Paralegal
Phone: (781) 489-7563

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1013032861
Entity type: Organization
NPI issued: 20 Mar 2007
Record last updated: 21 Jan 2015

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.