Organization
SCITUATE LIGHT CAREGIVERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER WAMBURU (OWNER/PRESIDENT/TRESURER)
(781) 436-3147
Entity
Organization
Contact information
Practice address
966 PARK ST STE A4, STOUGHTON, MA 02072-3664
(781) 436-3147
Mailing address
966 PARK ST STE A4, STOUGHTON, MA 02072-3664
(781) 436-3147
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
05/14/2020
Last updated
08/16/2022
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