| NPI | 1730894569 |
|---|---|
| Doing Business As | GOODYEAR ASSISTED LIVING HOME |
| Entity Type | Organization |
| Authorized Contact | JACOB AWANDEM Owner 781-346-1858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-17 |