NPI 1619699394 · live from the CMS NPI Registry
30 Princeton Opco LLC
Skilled Nursing Facility in Lowell, MA. National Provider Identifier 1619699394, active.
NPI record
| NPI | 1619699394 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 30 Princeton Blvd, Lowell, MA 01851 |
| Practice phone | 978-454-8086 |
| Enumerated | September 19, 2022 |
| Last updated | September 19, 2022 |
| Authorized official | Eliyahu Mirlis, Authorized Representative |
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.