| NPI | 1578857942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DOHERTY Otr/L Program Manager 781-391-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 3314) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |