| NPI | 1811120413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL GRECO Rehab Manager 508-675-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 7505) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: RI 00994) |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2009-08-29 |