| NPI | 1285995670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE RODRIGUEZ Operations Manager 774-420-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2012-06-02 |
| Last Update Date | 2024-06-12 |