| NPI | 1073643961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN ANN CAREY Administrator 508-378-2451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MA 1072) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |