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 |