NPI | 1407859564 |
---|---|
Doing Business As | SOUTH COVE MANOR |
Entity Type | Organization |
Authorized Contact | RICHARD WONG President / CEO 617-423-0590 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0876) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2014-04-01 |