NPI | 1912962796 |
---|---|
Doing Business As | CHURCH CREEK |
Entity Type | Organization |
Authorized Contact | JENNIFER F MINTZER President & Chief Operating Officer 617-796-8350 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
314000000X Skilled Nursing Facility (Licence: IL 0043893) | |
Enumeration Date | 2006-04-18 |
Last Update Date | 2021-10-11 |