Organization
INTECLINCO HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENEPHER JUDITH NALYANYA MD,MPH, MS, BSN (DIRECTOR)
(407) 409-9128
Entity
Organization
Contact information
Practice address
19 MILLSTONE RD, APT. 2, HYDE PARK, MA 02136-2309
(857) 334-4186
Mailing address
PO BOX 120-872, BOSTON, MA 02112-2309
(857) 334-4186
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/01/2016
Last updated
09/03/2016
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