# FOMUKAM HOMECARE LLC

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

## Provider details

- **NPI number:** 1508497991
- **Authorized official:** GEORGETTE KAMDOUM (OWNER)
- **Authorized official phone:** (617) 935-3004

## Contact information

- **Practice address:** 9 CASHMAN PL, BROCKTON, MA 02301-1733
- **Practice address phone:** (617) 935-3004
- **Mailing address:** 9 CASHMAN PL, BROCKTON, MA 02301-1733
- **Mailing address phone:** (617) 935-3004

## Taxonomy

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

## Other

- **Enumeration date:** 02/04/2020
- **Last updated:** 02/05/2020