NPI | 1669676433 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER B BASKIN Ccc Slp 508-381-1952 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA SLP76) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MA 76SLP) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2020-08-22 |