# PAVILION MEDICAL HOME CARE & STAFFING LLC

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

## Provider details

- **NPI number:** 1184085045
- **Authorized official:** GIBSON ERHUNMWUNSE (CEO)
- **Authorized official phone:** (240) 346-7488

## Contact information

- **Practice address:** 451 ANDOVER ST, SUITE \#211A, NORTH ANDOVER, MA 01845-5044
- **Practice address phone:** (240) 346-7488
- **Mailing address:** 451 ANDOVER ST, SUITE \#211A, NORTH ANDOVER, MA 01845-5044
- **Mailing address phone:** (240) 346-7488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/18/2016
- **Last updated:** 03/18/2016