NPI | 1174739429 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN A. GOLDSBERRY Executive Director 508-823-7134 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2007-05-15 |
Last Update Date | 2008-06-17 |