| NPI | 1730179367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA DECOTEAU Regional Accounts Receivable Managr 413-335-3318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0068) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-08-22 |