NPI | 1780005330 |
---|---|
Other Name | NA |
Entity Type | Organization |
Authorized Contact | NOSAYABA ESTHER IZEDONMWEN Registered Nurse 617-275-9385 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 2268310) |
Enumeration Date | 2013-12-30 |
Last Update Date | 2013-12-30 |