Organization
ANGKOR HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANNAK KANN (OWNER)
(617) 756-8512
Entity
Organization
Contact information
Practice address
173 PINE ST, LOWELL, MA 01851-3112
(978) 455-8466
Mailing address
173 PINE ST, LOWELL, MA 01851-3112
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/13/2015
Last updated
09/21/2015
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