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Prospect House
Assisted Living Facility in Revere, Massachusetts
NPI 1962625392

Prospect House is an Assisted Living Facility based in Revere, MA. Prospect House practices in Revere, MA. The NPI Number for Prospect House is 1962625392 and holds a License No. (Massachusetts).

The current practice location address for Prospect House is 420 Reservoir Ave, Revere, MA and can be reached out via phone at 781-853-0005.

Location: 420 Reservoir Ave, Revere, MA, 02151-5819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962625392
Provider Name
Prospect House
Credential
Provider Entity Type
Organization
Address
420 Reservoir Ave, Revere, MA, 02151-5819
Phone Number
781-853-0005
Fax Number
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1905139 05 MA
institution
Provider Business Practice Location Address Details
Address
420 Reservoir Ave
City
Revere
State
Massachusetts
Zip
02151-5819
Phone Number
781-853-0005
Fax Number
person
Provider Business Mailing Address Details
Address
420 Reservoir Ave
City
Revere
State
Massachusetts
Zip
02151-5819
Phone Number
781-853-0005
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
(Massachusetts)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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