| NPI | 1023627049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WICHNITE DERIVIERE Administrator 617-223-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251G00000X Hospice Care, Community Based | |
| 171M00000X Case Manager/Care Coordinator | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |