| NPI | 1518323310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LEWIS Nurse 978-578-0336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MA 217216) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |