| NPI | 1568575967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI L WADE Business Office/MIS Director 508-384-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0914533) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2011-09-07 |