Organization
KND DEVELOPMENT 50, LLC
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(508) 481-4930
Entity
Organization
Contact information
Practice address
313 BOSTON POST RD W, SUITE 280, MARLBOROUGH, MA 01752
(508) 481-4930
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092271A
—
MA
Enumeration date
09/13/2011
Last updated
09/01/2022
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