| NPI | 1497740773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IOANNIS MIRONIDIS It Director 508-852-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0970) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2021-07-03 |