| NPI | 1285855395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MONICA NATES SOUZA Physical Therapist 508-669-6810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 5118) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |