NPI | 1285621854 |
---|---|
Doing Business As | DALTON REST HOME |
Entity Type | Organization |
Authorized Contact | WILLIAM JOHN LANGE Administrator 508-755-6404 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MA 838) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2020-08-22 |