NPI | 1629785159 |
---|---|
Doing Business As | SUNDANCE ADULT FAMILY HOME |
Entity Type | Organization |
Authorized Contact | SUSAN MWIKLAI WAWERU Manager 508-612-3875 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2022-11-03 |
Last Update Date | 2022-11-11 |