| NPI | 1669472494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MAHONEY Administrator 508-796-8957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0693) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2022-02-21 |