| NPI | 1790372837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDA AGBOGA Secretary 617-980-3975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |