# GLENNEAGLE, LLC

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

## Provider details

- **NPI number:** 1225467053
- **Authorized official:** GERALD E RABINOVITZ (VICE PRESIDENT)
- **Authorized official phone:** (781) 449-0402

## Contact information

- **Practice address:** 124 CRESCENT RD, NEEDHAM, MA 02494-1442
- **Practice address phone:** (781) 449-0402
- **Practice address fax:** (781) 449-0854
- **Mailing address:** 124 CRESCENT RD, NEEDHAM, MA 02494-1442
- **Mailing address phone:** (781) 449-0402
- **Mailing address fax:** (781) 449-0854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 7006 | MA | Yes |

## Other

- **Enumeration date:** 11/02/2013
- **Last updated:** 11/02/2013