Organization
OMNI HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON L. GAUTHIER (ADMINISTRATOR/CEO)
(781) 202-1602
Entity
Organization
Contact information
Practice address
607 NORTH AVENUE, DOOR 14-2J, WAKEFIELD, MA 01880
(781) 202-1602
(781) 202-1602
Mailing address
607 NORTH AVENUE, DOOR 14-2J, WAKEFIELD, MA 01880
(774) 362-1199
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
07/01/2024
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