| NPI | 1740685080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JEAN ALEXANDER RN 413-652-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: MA 253299) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |