| NPI | 1184618613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GRIMES Administrator 978-373-5697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 3005) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-08-22 |