| NPI | 1215640172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADISLAV VILKOMIR Member 617-777-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-10-29 |