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Organization

PANSORA LLC

Active
Other names
PANSORA LLC
Organization subpart
No

Provider details

NPI number
Authorized official
ALAIN PANSORA PANSORA FOMELACK ATABONG CNA (CEO)
(351) 201-7773
Entity
Organization

Contact information

Practice address
115 PEARL AVE # B, REVERE, MA 02151-4211
(351) 201-7773
Mailing address
115 PEARL AVE # B, REVERE, MA 02151-4211
(351) 201-7773

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
Primary
253J00000X
Foster Care Agency
253Z00000X
In Home Supportive Care Agency
261QF0400X
Federally Qualified Health Center (FQHC)
374U00000X
Home Health Aide

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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