| NPI | 1962628040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE CULLEN Program Manager 978-749-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 6320) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |