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Organization

CENTRUS PREMIER HOME CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID KOWALCZYK (REGIONAL VP OF FINANCE)
(410) 910-1500
Entity
Organization

Contact information

Practice address
225 WATER ST STE C-101, PLYMOUTH, MA 02360-4060
(508) 747-3521
Mailing address
225 WATER ST, SUITE A-150, PLYMOUTH, MA 02360-9964
(508) 474-3521
(508) 746-6706

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E00000X
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0604828
MA
Enumeration date
09/23/2005
Last updated
10/10/2018
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