# LIVING WISDOM HOME HEALTH AGENCY, LLC

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

## Provider details

- **NPI number:** 1659675908
- **Authorized official:** IDELIE JEAN BAPTISTE (ADMINISTRATOR)
- **Authorized official phone:** (617) 733-5159

## Contact information

- **Practice address:** 189 BELMONT ST, BROCKTON, MA 02301-5159
- **Practice address phone:** (617) 733-5159
- **Mailing address:** 189 BELMONT ST, BROCKTON, MA 02301-5159
- **Mailing address phone:** (617) 733-5159

## Taxonomy

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

## Other

- **Enumeration date:** 12/30/2010
- **Last updated:** 12/30/2010