| NPI | 1629355847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WISWALL Chief Financial Officer 781-899-1344 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |