NPI | 1023730892 |
---|---|
Doing Business As | MYCARE LLC |
Entity Type | Organization |
Authorized Contact | JUDE TIMAH TATABOD CEO 508-345-0973 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2022-09-16 |
Last Update Date | 2022-09-16 |