| NPI | 1992784037 |
|---|---|
| Doing Business As | COUNTRY ESTATES OF AGAWAM |
| Entity Type | Organization |
| Authorized Contact | BRAD ROLPH CFO 781-297-8626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0967) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2020-08-22 |