Organization
MAACK ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KARUGU (PRESIDENT)
(857) 888-1378
Entity
Organization
Contact information
Practice address
172 CHERRY ST # 1, MALDEN, MA 02148-1634
(857) 888-1378
Mailing address
172 CHERRY ST # 1, MALDEN, MA 02148-1634
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110118282
MASSHEALTH
MA
Enumeration date
06/29/2018
Last updated
06/29/2018
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