| NPI | 1649266636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LEO DISANTI President 508-994-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MA 5507219) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2020-08-22 |