| NPI | 1811321417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURETTE THEODULE JOSEPH RN 781-526-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MA RN236191) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |