| NPI | 1639447006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW NARRETT Chief Medical Officer 800-523-9704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 2263574) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MA 2263574) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |