| NPI | 1609312867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LEE STONE Registered Nurse 508-280-8371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NY 051078-21) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |