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Organization
PROFESSIONAL HOME NURSING SERVICES
Active
Organization
PROFESSIONAL HOME NURSING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA ANTONIA RANIA RN (CEO)
(781) 572-0080
Entity
Organization
Contact information
Practice address
42 WAREHAM STREET, MEDFORD, MA 02155-6222
(781) 572-0080
(781) 219-4466
Mailing address
42 WAREHAM STREET, MEDFORD, MA 02155-6222
(781) 572-0080
(781) 219-4466
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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