| NPI | 1548255375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SAMPL Administrator 508-885-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MA 812) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2020-08-22 |