| NPI | 1770235988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE MULONDO Director 774-253-7365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |