| 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 |