| NPI | 1962612739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEE DASILVA Cota 413-358-3246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 2698) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |