| NPI | 1649539388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE GREENWOOD Speech Language Pathologist 413-575-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 7148) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MA 12106878) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |