| NPI | 1376089169 |
|---|---|
| Doing Business As | THERESA KIRBY |
| Entity Type | Organization |
| Authorized Contact | THERESA AGATHA KIRBY RN 617-905-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MA 205111) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |