NPI | 1790772192 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIELLE A FEDERICO Business Manger 781-237-8503 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MA 0793) |
261QR0400X Clinic/Center, Rehabilitation | |
Enumeration Date | 2005-09-30 |
Last Update Date | 2018-01-17 |