# LONGEVITY CARE, L.L.C.

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

## Provider details

- **NPI number:** 1295095859
- **Authorized official:** DANIA BAKOUSSEVA RN (MANAGER)
- **Authorized official phone:** (781) 248-8074

## Contact information

- **Practice address:** 139 E FOXBORO ST, SHARON, MA 02067-2522
- **Practice address phone:** (781) 248-8074
- **Practice address fax:** (617) 323-0680
- **Mailing address:** 139 E FOXBORO ST, SHARON, MA 02067-2522
- **Mailing address phone:** (781) 248-8074
- **Mailing address fax:** (617) 323-0680

## Taxonomy

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

## Other

- **Enumeration date:** 05/16/2012
- **Last updated:** 05/16/2012