NPI 1376176750

Kre-Bsl Husky Waltham Operations LLC

Organisation Assisted Living Facility Waltham, MA

Practice location

Address: 126 Smith St, Waltham, MA 02451-1300
Phone: (781) 466-9912
Mailing address: 201 Jones Rd STE 300, Waltham, MA 02451-1618

Authorised official

Name: Ann O'Flaherty
Title: Authorized Official
Phone: (781) 489-7181

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1376176750
Entity type: Organization
NPI issued: 13 Feb 2020
Record last updated: 13 Feb 2020

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.