| NPI | 1528055696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY LYNNE ANDRUS Ar Billing Manager 508-865-6106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0158) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |