| NPI | 1932268810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROLAND Administrator 508-586-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0750) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-08-22 |