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1053178582
200 GOVERNORS OPCO LLC
MEDFORD, MA
NPI
1053178582
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Entity Type
Organization
Authorized Contact
ELIYAHU MIRLIS
Owner
732-961-8491
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2024-03-01
Last Update Date
2024-03-01
Business Address
200 GOVERNORS OPCO LLC
200 GOVERNORS AVE
MEDFORD, MA 02155-1644
Phone number: 781-391-5400
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Mailing Address
200 GOVERNORS OPCO LLC
200 GOVERNORS AVE
MEDFORD, MA 02155-1644
Phone number: 781-391-5400
Copy
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