NPI | 1245517630 |
---|---|
Entity Type | Organization |
Authorized Contact | IZABELA MALGORZATA FANEUF CEO 978-633-4193 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MA RN2266427) |
Enumeration Date | 2011-11-14 |
Last Update Date | 2011-11-14 |