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Organization
LIVING WELL
Active
Organization
LIVING WELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINA IDAHOR (RN)
(617) 519-8195
Entity
Organization
Contact information
Practice address
53 OAK ST, HYDE PARK, MA 02136
(617) 519-8195
Mailing address
53 OAK ST, HYDE PARK, MA 02136
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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