| NPI | 1821721978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRIET J. KASOZI Co Worker 781-661-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2023-09-21 |