NPI | 1124006481 |
---|---|
Doing Business As | MILL POND REST HOME |
Entity Type | Organization |
Authorized Contact | THOMAS E WOODS President 508-881-1360 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MA 1012) |
Enumeration Date | 2006-01-06 |
Last Update Date | 2020-08-22 |