| NPI | 1407697865 |
|---|---|
| Former Legal Business Name | BROTHERS CARE GROUP HOMES LLC |
| Entity Type | Organization |
| Authorized Contact | KEL DELPHINE NJIKE TAH Manager 617-877-1429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-06-04 |