| NPI | 1154737062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M VOLOVICK Administrator 617-893-2557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0743) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |