| NPI | 1124019393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A BROWN Administrator 413-736-5494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MA 863) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-08-22 |