NPI | 1720077738 |
---|---|
Other Name | OUR ISLAND HOME |
Entity Type | Organization |
Authorized Contact | PAMELA GRANTHAM MERIAM Administrator 508-325-5360 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 0851) |
Enumeration Date | 2005-10-21 |
Last Update Date | 2007-10-25 |