| NPI | 1114929684 |
|---|---|
| Doing Business As | CENTENNIAL PARK RETIREMENT VILLAGE |
| Entity Type | Organization |
| Authorized Contact | KATHERINE E POTTER President & Chief Executive Officer 617-796-8387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 47-0704192/00) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NE 47-0704192/11) |
| 310400000X Assisted Living Facility | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2019-03-26 |