NPI | 1376761734 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN RODMAN-CONARE CEO President 508-772-1210 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2007-04-23 |
Last Update Date | 2012-03-05 |