464 Main Street Operations LLC
464 Main Street Operations LLC is a Skilled Nursing Facility in Agawam, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.
- Licensed in
- MA
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
464 Main StAgawam, MA 01001-1826
Phone: (412) 786-8000
Fax: (413) 789-1099
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 0875 (MA) |
|---|
Record details
| NPI number | 1699957415 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Berg — Asst Secretary · (505) 468-4742 |
| Other names | Memory Support Of Heritage Hall |
| NPI enumerated | December 4, 2007 |
| Last updated in NPPES | October 23, 2020 |
| Certification date | October 23, 2020 |
| Mailing address | 101 E State St, Kennett Square, PA 19348-3109 |
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