| NPI | 1790974533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN CHELI Owner 508-854-8418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MA not yet issued) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-12-17 |