Organization
VITRA HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX VOSHCHIN (PRESIDENT)
(508) 297-2022
Entity
Organization
Contact information
Practice address
150 WOOD ROAD, SUITE 201, BRAINTREE, MA 02184
(508) 297-2022
(508) 689-7848
Mailing address
150 WOOD ROAD, SUITE 201, BRAINTREE, MA 02184
(508) 297-2022
(508) 689-7848
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093684A
—
MA
05
—
110093684B
—
MA
Enumeration date
03/05/2012
Last updated
10/12/2017
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