NPI | 1962467415 |
---|---|
Doing Business As | HEALTHCARE CENTER AT THE FORUM AT PARK LANE |
Entity Type | Organization |
Authorized Contact | KATHERINE E POTTER President & Chief Executive Officer 617-796-8387 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 110390) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2019-03-27 |