# VTL CARE MASSACHUSETTS LLC

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

## Provider details

- **NPI number:** 1902545577
- **Authorized official:** MICHAEL RYAN SANDERSON (OWNER)
- **Authorized official phone:** (856) 796-2063

## Contact information

- **Practice address:** 60 GIBSON ST UNIT 5B5, BOSTON, MA 02122-1258
- **Practice address phone:** (856) 796-2063
- **Mailing address:** 60 GIBSON ST UNIT 5B5, BOSTON, MA 02122-1258
- **Mailing address phone:** (856) 796-2063

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2022
- **Last updated:** 06/01/2022