| NPI | 1942296793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLIN SOUTHWICK Executive Director 617-522-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MA 1096 (Dept Pub Hlth)) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-08-22 |