NPI | 1043401136 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLARD L BASLER Administrator 617-825-1793 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 2560) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2007-08-05 |