| NPI | 1073887246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX VOSHCHIN President 508-297-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2017-10-12 |