| NPI | 1942285291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA SHERBLOM Corporate A/R Director 508-879-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 860) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2009-12-03 |