Organization
DERIVIERE HEALTH CARE STAFFING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WICHNITE DERIVIERE RN (ADMINISTRATOR)
(617) 223-7463
Entity
Organization
Contact information
Practice address
100 MERRIMACK ST STE 306, LOWELL, MA 01852-1706
(617) 223-7463
(888) 811-5268
Mailing address
100 MERRIMACK ST STE 306, LOWELL, MA 01852-1706
(617) 223-7463
(888) 811-5268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092881A
—
MA
Enumeration date
07/27/2020
Last updated
07/27/2020
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