NPI | 1366591919 |
---|---|
Other Name | KNOLLWOOD NURSING HOME |
Entity Type | Organization |
Authorized Contact | JANICE F WILSON Chief Operating Officer 508-852-2670 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0119) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2020-08-22 |