| NPI | 1942909650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANICE HEATHER OGARRO Administrator 617-229-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |