NPI 1558700765

Wg Marland Place Sh, LLC

Organisation Assisted Living Facility Andover, MA

Practice location

Address: 15 Stevens St, Andover, MA 01810-3599
Phone: (978) 475-4225
Fax: (978) 475-5818
Mailing address: 401 S 4th St Suite 1900, Attn: Legal Dept., Louisville, KY 40202-3426

Authorised official

Name: W. Bryan Hudson
Title: Authorized Representative
Phone: (502) 779-4700

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence NONE ISSUED (MA)

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Registry record

NPI: 1558700765
Entity type: Organization
NPI issued: 20 Jun 2013
Record last updated: 20 Jun 2013

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.