# PROFESSIONAL HOME NURSING SERVICES

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

## Provider details

- **NPI number:** 1871801316
- **Authorized official:** MS. CARLA ANTONIA RANIA RN (CEO)
- **Authorized official phone:** (781) 572-0080

## Contact information

- **Practice address:** 42 WAREHAM STREET, MEDFORD, MA 02155-6222
- **Practice address phone:** (781) 572-0080
- **Practice address fax:** (781) 219-4466
- **Mailing address:** 42 WAREHAM STREET, MEDFORD, MA 02155-6222
- **Mailing address phone:** (781) 572-0080
- **Mailing address fax:** (781) 219-4466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 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