| NPI | 1265549786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK SHEEHAN Manager 508-238-7053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0783) |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2009-10-08 |