STANDISH VILLAGE TRS LLC NPI 1821418146

NPI Information

STANDISH VILLAGE TRS, LLC is an assisted living facility in Dorchester, MA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. STANDISH VILLAGE TRS, LLC NPI is 1821418146. The provider is registered as an organization entity type.

The provider's business location address is:

1190 ADAMS ST
DORCHESTER, MA
ZIP 02124-772
Phone: (617) 298-5656
Fax: (617) 298-2508

The provider's authorized official is Robert Larkin .
The authorized official title is President and has the following contact phone number (617) 268-9140.

The CLIA number assigned to this NPI record is 22D2218700 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2014 and was last updated on 4/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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