Organization
CUSTOM CARE AND COACH
Active
Other names
Whitney V. La Roche
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WHITNEY VERDIEU LA ROCHE M.M.,C.A.G.S. (DIRECTOR)
(617) 800-3665
Entity
Organization
Contact information
Practice address
27 MONPONSET ST, MATTAPAN, BOSTON, MA 02126-3011
(617) 800-3665
Mailing address
27 MONPONSET ST, MATTAPAN, BOSTON, MA 02126-3011
(617) 800-3665
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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