| NPI | 1417944612 |
|---|---|
| Doing Business As | MITCHELL MANOR |
| Entity Type | Organization |
| Authorized Contact | KATHERINE E POTTER President & Chief Executive Officer 617-796-8387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 3181) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2019-03-27 |