| NPI | 1356589154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLETTE P JEAN RN 508-615-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: MA 256949) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |