Provider Demographics
NPI:1760715700
Name:TRADITIONS OF WAYLAND
Entity Type:Organization
Organization Name:TRADITIONS OF WAYLAND
Other - Org Name:ATRIA SENIOR LIVING GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-326-5800
Mailing Address - Street 1:401 S 4TH ST
Mailing Address - Street 2:SUITE 1900
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-3426
Mailing Address - Country:US
Mailing Address - Phone:502-779-7547
Mailing Address - Fax:502-779-7598
Practice Address - Street 1:10 GREEN WAY
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-2616
Practice Address - Country:US
Practice Address - Phone:508-358-0700
Practice Address - Fax:508-358-4726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility