| NPI | 1164079273 |
|---|---|
| Doing Business As | THE FORUM AT PARK LANE |
| Doing Business As | HEALTHCARE CENTER AT THE FORUM AT PARK LANE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER F. MINTZER President & Chief Operating Officer 617-796-8350 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2021-10-11 |