| NPI | 1538158894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WHYTE Administrator 508-746-9406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MA 1083) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2020-08-22 |