| NPI | 1477839132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ANDREWS Practice Manager 617-479-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 4SVE) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2017-12-14 |