# INTECLINCO HOME HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013464536
- **Authorized official:** JENEPHER JUDITH NALYANYA MD,MPH, MS, BSN (DIRECTOR)
- **Authorized official phone:** (407) 409-9128

## Contact information

- **Practice address:** 19 MILLSTONE RD, APT. 2, HYDE PARK, MA 02136-2309
- **Practice address phone:** (857) 334-4186
- **Mailing address:** PO BOX 120-872, BOSTON, MA 02112-2309
- **Mailing address phone:** (857) 334-4186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/03/2016
