| NPI | 1164554093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MAZZILLI Director 508-747-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MA 1904027) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |