| NPI | 1871588608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ORIOL Administrator 508-829-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: MA 110025736B) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 110025736C) | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2015-05-20 |