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Organization
CUSTOM CARE AND COACH
Active
Organization
CUSTOM CARE AND COACH
Active
Other names
Whitney V. La Roche
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WHITNEY VERDIEU LA ROCHE M.M.,C.A.G.S. (DIRECTOR)
(617) 800-3665
Entity
Organization
Contact information
Practice address
27 MONPONSET ST, MATTAPAN, BOSTON, MA 02126-3011
(617) 800-3665
Mailing address
27 MONPONSET ST, MATTAPAN, BOSTON, MA 02126-3011
(617) 800-3665
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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