NPI 1265992903 · live from the CMS NPI Registry
Bear Mt Sudbury LLC
Skilled Nursing Facility in Sudbury, MA. National Provider Identifier 1265992903, active.
NPI record
| NPI | 1265992903 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 136 Boston Post Rd, Sudbury, MA 01776 |
| Practice phone | 978-443-2722 |
| Mailing address | 130 S Main St Ste 203, Thomaston, CT 06787 |
| Enumerated | March 20, 2019 |
| Last updated | March 20, 2019 |
| Authorized official | John Wynne, Member/Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.