Organization
INNOVIVE HEALTH OF MASSACHUSETTS LLC
Active
Other names
Nizhoni Health Systems LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MCDONOUGH (MEMBER MANAGER)
(617) 623-3211
Entity
Organization
Contact information
Practice address
10 CABOT RD STE 201, MEDFORD, MA 02155-5173
(800) 915-3211
Mailing address
10 CABOT RD STE 201, MEDFORD, MA 02155-5173
(800) 915-3211
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0612529
—
MA
Enumeration date
08/31/2006
Last updated
03/14/2024
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