Organization
COLMAN LIFE BREAKTHROUGH LLC
Active
Parent organization
COLMAN LIFE BREAKTHROUGH LLC
Other names
Colman Life Breakthrough LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLMAN LIFE BREAKTHROUGH LLC
Authorized official
MRS. LERREA MADELEINE MENGATA LPN (INDEPENDENT NURSE)
(857) 249-8804
Entity
Organization
Contact information
Practice address
227 FOSTER RD, TEWKSBURY, MA 01876-2809
(857) 249-8804
Mailing address
227 FOSTER RD, TEWKSBURY, MA 01876-2809
(857) 249-8804
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
03/01/2021
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