| NPI | 1538154331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE ROQUE Executive Director 508-679-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 823) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2022-01-11 |