| NPI | 1255194890 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | FAITH JOY MUKISA Manager 978-390-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-10-27 |