| NPI | 1538704200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNEY SIMON-PASCAL Authorized Agent 781-588-0687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 253Z00000X In Home Supportive Care | |
| 291U00000X Clinical Medical Laboratory | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2022-11-07 |