| NPI | 1083049308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIMATA SESAY OLDFIELD Lpn 508-982-9438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: OH 152930) |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: OH 152930) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2014-07-08 |