| NPI | 1770808636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTON I PUKHOVITSKY Administrator 617-600-4547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2012-01-18 |