| NPI | 1376580266 |
|---|---|
| Doing Business As | KIMWELL |
| Entity Type | Organization |
| Authorized Contact | JOHN G. FREDETTE Manager 508-679-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0720) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2014-10-30 |