| NPI | 1730300294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIE TAG President 508-798-3727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MA 1T61) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |