RENEE L GANNON

BROOKLINE, MA
NPI1881711331
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: MA  1741)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
MRS. RENEE L GANNON COTA L
30 WEBSTER ST
BROOKLINE, MA 02446-4938
Phone number: 617-734-2300
Mailing Address
MRS. RENEE L GANNON COTA L
96 ELENE ST
LOWELL, MA 01854-1004
Phone number: 978-459-7666