| 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 |