# PANDA CARE MASSACHUSETTS SUB LLC

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

## Provider details

- **NPI number:** 1720945249
- **Authorized official:** VICKI DRAZIN (OWNER)
- **Authorized official phone:** (313) 284-2501

## Contact information

- **Practice address:** 529 MAIN ST, CHARLESTOWN, MA 02129-1125
- **Practice address phone:** (313) 284-2501
- **Mailing address:** 529 MAIN ST, CHARLESTOWN, MA 02129-1125

## Taxonomy

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

## Other

- **Enumeration date:** 01/07/2026
- **Last updated:** 09/04/2026