| NPI | 1063415602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLUSO OMOTOLA OLUBANJO Administrator/Owner 781-780-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MA 227446) |
| Additional Taxonomies | 251E00000X Home Health (Licence: ME 227446) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2015-10-20 |