| NPI | 1710980792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A. TRUDEAU Administrator 508-997-9314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 225481) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |