# GISSLENE HOME HEALTH AIDE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gisslene Home Health Aide Agency LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225469224
- **Authorized official:** GISSELENE BEAUPLANT (CEO)
- **Authorized official phone:** (617) 333-9479

## Contact information

- **Practice address:** 54 WARREN AVE, HYDE PARK, MA 02136-3533
- **Practice address phone:** (617) 333-9479
- **Mailing address:** 54 WARREN AVE, HYDE PARK, MA 02136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 193200000X | MA | Yes |

## Other

- **Enumeration date:** 12/02/2013
- **Last updated:** 12/02/2013
