# PROSPERIN 21 ST LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home For Life Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982064960
- **Authorized official:** MS. JEANNETTE M NDAHUNGA (OWNER)
- **Authorized official phone:** (781) 842-3035

## Contact information

- **Practice address:** 531 ESSEX ST, LYNN, MA 01902-3946
- **Practice address phone:** (781) 856-0539
- **Practice address fax:** (781) 584-6983
- **Mailing address:** 531 ESSEX ST, LYNN, MA 01902-3946
- **Mailing address phone:** (781) 856-0539
- **Mailing address fax:** (781) 584-6983

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2016
- **Last updated:** 03/03/2016