| NPI | 1629712633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE R WILSON Manager 617-821-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2023-05-18 |