NPI | 1104017292 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLARD L L BASLER Administrator 617-445-1868 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 1027) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2007-08-05 |