# FORNDAWANTAB

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

## Provider details

- **NPI number:** 1841034857
- **Authorized official:** MR. JULIUS NDASI (MANAGER)
- **Authorized official phone:** (346) 232-0150

## Contact information

- **Practice address:** 61 MERRIFIELD ST, WORCESTER, MA 01605-2924
- **Practice address phone:** (346) 232-0150
- **Mailing address:** 61 MERRIFIELD ST, WORCESTER, MA 01605-2924
- **Mailing address phone:** (346) 232-0150

## Taxonomy

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

## Other

- **Enumeration date:** 06/24/2024
- **Last updated:** 06/24/2024
