NPI | 1801442637 |
---|---|
Doing Business As | PUEBO NORTE SENIOR LIVING COMMUNITY |
Entity Type | Organization |
Authorized Contact | JENNIFER F. MINTZER President & Chief Operating Officer 617-796-8350 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 314000000X Skilled Nursing Facility |
Enumeration Date | 2019-08-16 |
Last Update Date | 2021-10-11 |