| NPI | 1235185836 |
|---|---|
| Doing Business As | PUEBLO NORTE SENIOR LIVING COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | KATHERINE E POTTER President & Chief Executive Officer 617-796-8387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI343) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AZ N046033) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-08-29 |