# MILLBURY HOME CARE LLC

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

## Provider details

- **NPI number:** 1205601895
- **Authorized official:** AMANDA MARIE CIEJKA (CEO)
- **Authorized official phone:** (508) 963-6087

## Contact information

- **Practice address:** 4 GOULD ST, MILLBURY, MA 01527-1909
- **Practice address phone:** (508) 963-6087
- **Mailing address:** 4 GOULD ST, MILLBURY, MA 01527-1909
- **Mailing address phone:** (508) 963-6087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/24/2023
- **Last updated:** 11/24/2023