NPI | 1154088052 |
---|---|
Former Legal Business Name | INTENTIONAL HOMECARE LLC |
Entity Type | Organization |
Authorized Contact | LA-KEISHA RENEE MILORD CEO 781-552-8438 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2021-11-26 |
Last Update Date | 2025-02-09 |