| NPI | 1750379715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN MCCARTHY Chief Executive Officer/Administrat 508-872-6720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0928) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 0928) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2022-06-27 |