| NPI | 1104623404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY THULARE Coe/Director 508-373-6343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-03-19 |