| NPI | 1538403092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRAID Cota/L 603-793-4856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 2018) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |