NPI | 1679615330 |
---|---|
Entity Type | Organization |
Authorized Contact | STELLA KREMENCHUGSKY Program Director 781-718-8472 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MA 1904591) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2008-07-11 |