| NPI | 1417540394 |
|---|---|
| Doing Business As | THE RESIDENCE AT GREAT WOODS |
| Entity Type | Organization |
| Authorized Contact | LEO JACQUES Controller 781-619-9327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |