| NPI | 1245256718 |
|---|---|
| Doing Business As | FOULK MANOR NORTH |
| 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: DE 1058) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: DE 1306) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-03-28 |