| NPI | 1356053821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY MUSISI MLEKELWA Owner 781-526-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 253Z00000X In Home Supportive Care | |
| 282N00000X General Acute Care Hospital | |
| 283X00000X Rehabilitation Hospital | |
| 310400000X Assisted Living Facility | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2022-12-15 |