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 |