Organization
ELEVATED LIFESTYLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WINNIE NABAWESI (OWNER)
(508) 904-2782
Entity
Organization
Contact information
Practice address
388 BERLIN RD, MARLBOROUGH, MA 01752-7200
(508) 904-2782
Mailing address
388 BERLIN RD, MARLBOROUGH, MA 01752-7200
(508) 904-2782
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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