NPI 1700346459 · live from the CMS NPI Registry
Bear Mt Andover LLC
Skilled Nursing Facility in Andover, MA. National Provider Identifier 1700346459, active.
NPI record
| NPI | 1700346459 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 80 Andover St, Andover, MA 01810 |
| Practice phone | 978-470-3434 |
| Mailing address | 130 S Main St, 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.