| NPI | 1659126050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERLANDE BRUTUS CEO 781-492-4607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 1710I1002X Military Health Care Provider, Independent Duty Corpsman | |
| 253J00000X Foster Care Agency | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 374T00000X Religious Nonmedical Nursing Personnel | |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |