| NPI | 1013902881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE ROQUE CEO 508-679-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 867) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2022-01-11 |