| NPI | 1457998064 |
|---|---|
| Doing Business As | LA VILLA GRANDE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER F. MINTZER President & Chief Operating Officer 617-796-8350 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2020-05-01 |