| NPI | 1093702664 |
|---|---|
| Doing Business As | BURNCOAT PLAINS REST HOME |
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOHN LANGE Administrator 508-755-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MA 830) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-08-22 |