| NPI | 1578818845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDMILA COSTIV Owner 617-916-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2025-01-10 |