NPI 1245475847
Worcester Light, LLC
Practice location
- Address
- 1398 Main St, Worcester, MA 01603
- Phone
- (508) 756-1515
Authorised official
- Name
- Steve Dashevsky
- Title
- Owner
- Phone
- (508) 756-1515
Registered specialties
Custodial Care Facility
Primary
Registry record
- NPI
- 1245475847
- Entity type
- Organization
- NPI issued
- 10 Dec 2008
- Record last updated
- 10 Dec 2008
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.