NPI | 1598755027 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN WILLENS Executive Director 508-798-8653 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0826) |
Enumeration Date | 2005-10-26 |
Last Update Date | 2013-07-17 |