| NPI | 1710108709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S DOYLE Administrator 508-255-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 0704) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |