# JERUSALEM HOME CARE LLC

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

## Provider details

- **NPI number:** 1417607441
- **Authorized official:** DOMINIQUE MORISSET PIERRE (MAMAGER)
- **Authorized official phone:** (781) 535-8028

## Contact information

- **Practice address:** 45 DAN RD STE 125, CANTON, MA 02021-2852
- **Practice address phone:** (508) 455-0118
- **Practice address fax:** (508) 455-0118
- **Mailing address:** 45 DAN RD STE 125, CANTON, MA 02021-2852
- **Mailing address phone:** (508) 455-0118
- **Mailing address fax:** (508) 455-0118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2022
- **Last updated:** 03/24/2022