Organization
LIFE CARE AT HOME OF MASSACHUSETTS INC
Active
Other names
AFFINITY HOSPICE OF LIFE
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JOHNSON (SENIOR DIRECTOR OF FINANCE)
(423) 473-5257
Entity
Organization
Contact information
Practice address
397 GROVE ST, WORCESTER, MA 01605-1223
(508) 752-0827
(508) 755-3252
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5256
(423) 339-8356
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
7A4Z
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110024496B
—
MA
01
—
AA13041
HARVARD PILGRIM
MA
Enumeration date
06/02/2005
Last updated
11/21/2013
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