| NPI | 1811983240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M. VITALE Administrator 508-679-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0634) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2008-04-08 |