NPI 1720496318

Peregrine Senior Living of Tewksbury, LLC

Organisation Assisted Living Facility Tewksbury, MA

Practice location

Address: 1009 Main St # 2850, Tewksbury, MA 01876-4737
Phone: (985) 377-1622
Mailing address: 217 Montgomery St, Syracuse, NY 13202-1937

Authorised official

Name: Laurie Clark
Title: Director of Operations
Phone: (315) 476-5610

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1720496318
Entity type: Organization
NPI issued: 26 Jul 2014
Record last updated: 26 Jul 2014

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.