| NPI | 1649666512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN WILLIAM MACHADO Owner 774-425-3083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MA 8378) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2022-09-27 |