| NPI | 1205433745 |
|---|---|
| Former Legal Business Name | NA |
| Entity Type | Organization |
| Authorized Contact | ABDUL KARIM MWEBESA Manager 617-415-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |