# MENLLA HEALTH CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1588437701
- **Authorized official:** AMEN IMA-IDUBOR (OWNER/ PRESIDENT)
- **Authorized official phone:** (617) 704-1353

## Contact information

- **Practice address:** 45 DAN RD, CANTON, MA 02021-2852
- **Practice address phone:** (617) 704-1353
- **Mailing address:** 91 HARVARD ST, DORCHESTER, MA 02124-1935
- **Mailing address phone:** (617) 704-1353

## Taxonomy

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

## Other

- **Enumeration date:** 10/31/2023
- **Last updated:** 12/19/2023