| NPI | 1366497349 |
|---|---|
| Doing Business As | LA VILLA GRANDE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHERINE E POTTER President & Chief Executive Officer 617-796-8387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 1183) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-03-26 |