# ROXSOM HOME CARE LLC

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

## Provider details

- **NPI number:** 1912010653
- **Authorized official:** MR. HUSSEIN NUR GULED (TREASURER)
- **Authorized official phone:** (617) 529-1646

## Contact information

- **Practice address:** 2343 WASHINGTON ST, STREET SUITE 3, ROXBURY, MA 02119-3200
- **Practice address phone:** (617) 445-7500
- **Practice address fax:** (617) 445-7502
- **Mailing address:** 2343 WASHINGTON ST, STREET SUITE 3, ROXBURY, MA 02119-3200
- **Mailing address phone:** (617) 445-7500
- **Mailing address fax:** (617) 445-7502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 000928631 | MA | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 06/21/2018
