| NPI | 1336533785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN MICHAUD Administrator 617-864-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 11519) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |