| NPI | 1306971254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARDEN Owner 617-361-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 1387) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |