| NPI | 1467443374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PIEKARCZYK Administrator 508-755-8605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0845) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-08-22 |