| NPI | 1568716314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JEAN MAYO Cota 508-367-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 2801) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |