| NPI | 1740229707 |
|---|---|
| Doing Business As | NORTHLAKE GARDENS |
| Entity Type | Organization |
| Authorized Contact | BRUCE J MACKEY President & Chief Executive Officer 617-796-8214 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: GA 044-03-019-1) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-06-27 |