Provider Demographics
NPI:1114308210
Name:MILFORD ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:MILFORD ASSISTED LIVING LLC
Other - Org Name:BLAIRE HOUSE OF MILFORD ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROMANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-948-7383
Mailing Address - Street 1:51 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1835
Mailing Address - Country:US
Mailing Address - Phone:978-948-7383
Mailing Address - Fax:978-948-3421
Practice Address - Street 1:1 RAILROAD STREET
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-4245
Practice Address - Country:US
Practice Address - Phone:508-473-4666
Practice Address - Fax:508-902-2015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility