NPI | 1326109141 |
---|---|
Doing Business As | VICTORIA HAVEN NURSING FACILITY |
Entity Type | Organization |
Authorized Contact | PETER H THISSE Controller 781-762-0703 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0407) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2011-12-16 |