NPI 1861866527
Src Pittsfield, LLC
Practice location
- Address
- 140 Melbourne Rd, Pittsfield, MA 01201-8533
- Phone
- (413) 499-1992
- Mailing address
- 63 Kendrick St, Needham, MA 02494-2708
Authorised official
- Name
- Tamilyn Levin
- Title
- Chief Financial Officer
- Phone
- (781) 707-9510
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1861866527
- Entity type
- Organization
- NPI issued
- 18 Nov 2015
- Record last updated
- 18 Nov 2015
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.