NPI | 1225614548 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL CLERVILLE Director 508-326-0496 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
251E00000X Home Health | |
251J00000X Nursing Care | |
253Z00000X In Home Supportive Care | |
Enumeration Date | 2021-03-18 |
Last Update Date | 2021-03-18 |