| NPI | 1639547011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET FOMBON-NAMBOUH Administrator 781-732-8064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 3747P1801X Technician, Personal Care Attendant | |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| 376J00000X Homemaker | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2023-12-13 |