NPI | 1326035445 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN L STEACIE Administrator 508-872-5250 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 0367) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2020-08-22 |