# LILAC HOMECARE LLC

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

## Provider details

- **NPI number:** 1346615432
- **Authorized official:** MRS. MARGARET MUTHONI KURIA RN-BSN (CEO/PRESIDENT)
- **Authorized official phone:** (508) 736-0701

## Contact information

- **Practice address:** 210 PARK AVE, SUITE 162, WORCESTER, MA 01609-2246
- **Practice address phone:** (508) 736-0701
- **Mailing address:** 210 PARK AVE, SUITE 162, WORCESTER, MA 01609-2246
- **Mailing address phone:** (508) 736-0701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 001199369 | MA | Yes |

## Other

- **Enumeration date:** 12/01/2015
- **Last updated:** 12/01/2015