| NPI | 1578287561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN Z KANYANGE Manager 413-218-2538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |