# JG HOME HEALTH CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interim HealthCare Inc, Interim HealthCare of Lexington MA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770975500
- **Authorized official:** DR. JYOTSNA KAKULLAVARAPU MD, MPH, CDP (OWNER/ CEO/ ADMINISTRATOR)
- **Authorized official phone:** (781) 667-3220

## Contact information

- **Practice address:** 394 LOWELL ST STE 11, LEXINGTON, MA 02420-2550
- **Practice address phone:** (781) 667-3220
- **Practice address fax:** (781) 667-3221
- **Mailing address:** 394 LOWELL ST STE 11, LEXINGTON, MA 02420-2550
- **Mailing address phone:** (781) 667-3220
- **Mailing address fax:** (781) 667-3221

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2015
- **Last updated:** 02/18/2022