| NPI | 1629578968 |
|---|---|
| Doing Business As | LA VILLA GRANDE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRUCE J. MACKEY President & Chief Executive Officer 617-796-8214 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |