| NPI | 1851870695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHALAN LARESE BOLDEN Family Nurse Practitioner 413-265-9654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QH0100X Clinic/Center, Health Services | |
| 364SH0200X Clinical Nurse Specialist, Home Health | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |