NPI | 1790776698 |
---|---|
Doing Business As | BEAVEN KELLY HOME |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER JOHN MCLAUGHLIN COO, Mercy Continuing Care Network 413-539-2917 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MA 879) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2011-12-30 |