| 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 |