| NPI | 1770799058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY T. STEWART Administrator 508-746-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 1706) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |