| NPI | 1275883126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROBERT WOOD Cota/L 1617-660-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 2445) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |