| NPI | 1447601638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA REID Controller 774-763-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2018-03-17 |