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Organization

SERAPHIC SPRINGS HEALTH CARE AGENCY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. FOLUSO OMOTOLA OLUBANJO (ADMINISTRATOR/OWNER)
(781) 780-6515
Entity
Organization

Contact information

Practice address
425 WESTERN AVE, LYNN, MA 01904-3317
(781) 780-6515
(781) 593-3618
Mailing address
425 WESTERN AVE, LYNN, MA 01904-3317
(781) 780-6515
(781) 593-3618

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
227446
MA
251E00000X
Home Health Agency
227446
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0607002
MA
01
110024476A
MASSHEALTH
MA
Enumeration date
05/27/2005
Last updated
10/20/2015
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