Organization
ELITE GROUP HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MABOH ACHIRI NP (OWNER)
(413) 543-6820
Entity
Organization
Contact information
Practice address
950 N MAIN ST, RANDOLPH, MA 02368-3064
(413) 543-6820
Mailing address
37 FIRST ST, BROCKTON, MA 02301-6419
(413) 543-6820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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