| NPI | 1306656020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR MANISHIMWE K Shareholder 617-858-4014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |