Organization
JORDAN HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE R WILSON REGISTERED NURSE (MANAGER)
(617) 821-4923
Entity
Organization
Contact information
Practice address
1 HERBERT ST UNIT B, LYNN, MA 01902-3808
(617) 821-4923
Mailing address
2 BURLINGTON WOODS DR STE 100, BURLINGTON, MA 01803-4551
(617) 821-4923
(617) 675-7002
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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