| NPI | 1265089379 |
|---|---|
| Doing Business As | NORTHLAKE GARDEN |
| Entity Type | Organization |
| Authorized Contact | JENNIFER F. MINTZER President & Chief Operating Officer 617-796-8350 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2020-05-04 |