NPI | 1811942881 |
---|---|
Doing Business As | THE FORUM AT BROOKSIDE |
Entity Type | Organization |
Authorized Contact | KATHERINE E POTTER President & Chief Executive Officer 617-796-8387 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KY 100551) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2019-03-28 |