NPI | 1255328456 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA ANN ROACH Business Office Manager 508-238-7053 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0928461) |
Enumeration Date | 2005-10-03 |
Last Update Date | 2020-08-22 |