NPI 1013575752

Kre Husky Waltham Licensee LLC

Organisation Assisted Living Facility Waltham, MA

Practice location

Address: 126 Smith St, Waltham, MA 02451-1300
Phone: (781) 609-7996
Mailing address: 201 Jones Rd Fl 3, Waltham, MA 02451-1600

Authorised official

Name: Thomas H. Grape
Title: President
Phone: (781) 489-7100

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1013575752
Entity type: Organization
NPI issued: 29 May 2019
Record last updated: 29 May 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.