| NPI | 1770573560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PETERMAN JR CEO 508-457-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MA 0917) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2020-08-22 |