NPI | 1891989000 |
---|---|
Other Name | DAVENPORT MEMORIAL HOME |
Entity Type | Organization |
Authorized Contact | BETH E. WALSH Director 781-324-0150 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MA 1132) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2007-08-30 |