OrganizationActive
184 Main LLC
NPI 1902817299 · Skilled Nursing Facility · Fairhaven, MA
Provider details
- NPI number
- 1902817299
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Paula Reid, Controller
- License
- 0646 (MA)
Practice location
184 Main Street
Fairhaven, MA 02719
Phone: (508) 997-3193
Fax: (508) 991-5615
Mailing address
184 Main Street
Fairhaven, MA 02719
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2013-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.