| NPI | 1790512093 |
|---|---|
| Doing Business As | LIVING WELL AT HOME PROGRAM |
| Entity Type | Organization |
| Authorized Contact | ANTHONY HOLLENBERG President 617-638-6903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |