NPI | 1275515439 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER J. KENNEY CEO/Administrator 508-583-5834 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0585) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 881) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2012-11-20 |