| NPI | 1376093260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAND AJAY Employer 781-642-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA RN263919) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |