OrganizationActive
1102 Washington Street Operator LLC
NPI 1902322092 · Skilled Nursing Facility · Braintree, MA
Provider details
- NPI number
- 1902322092
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- William Stephan, Cfo
Mailing address
1102 Washington St
Braintree, MA 02184-5438
Registry dates
- Enumerated
- 2017-08-21
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.