| NPI | 1144655234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY OLDFIELD Lpn 978-606-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: OH 152968) |
| Enumeration Date | 2013-09-07 |
| Last Update Date | 2013-09-07 |