Organization
QUEEN SHEBA HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESKINDER T FANTA (PRESIDENT/OWNER/CEO)
(857) 318-5669
Entity
Organization
Contact information
Practice address
333 MASS AVE APT 713, BOSTON, MA 02115-2218
(857) 318-5669
Mailing address
PO BOX 231147, BOSTON, MA 02123-1147
(857) 318-5669
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MA
Other
Enumeration date
02/26/2016
Last updated
08/15/2016
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