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Organization
INTECLINCO HOME HEALTH SERVICES LLC
Active
Organization
INTECLINCO HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENEPHER JUDITH NALYANYA MD,MPH, MS, BSN (DIRECTOR)
(407) 409-9128
Entity
Organization
Contact information
Practice address
19 MILLSTONE RD, APT. 2, HYDE PARK, MA 02136-2309
(857) 334-4186
Mailing address
PO BOX 120-872, BOSTON, MA 02112-2309
(857) 334-4186
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
09/01/2016
Last updated
09/03/2016
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