| NPI | 1912671306 |
|---|---|
| Former Legal Business Name | EBENEZER HOMECARE |
| Entity Type | Organization |
| Authorized Contact | JODY PODOLOFF Administrator 617-797-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |