NPI 1073042453

272 Washington Street Operator LLC

Organisation Skilled Nursing Facility Gloucester, MA

Practice location

Address: 272 Washington St, Gloucester, MA 01930-4818
Phone: (978) 281-0333
Fax: (978) 281-8985
Mailing address: 75 2nd Ave STE 605, Needham, MA 02494-2863

Authorised official

Name: William Howard Stephan
Title: Chief Financial Officer
Phone: (617) 943-7747

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Massachusetts →

Registry record

NPI: 1073042453
Entity type: Organization
NPI issued: 8 Jun 2017
Record last updated: 8 Jun 2017

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.