| NPI | 1134261233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA VACON Executive Director 508-791-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 1900005) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-08-11 |