Organization
SAMANTHA JEAN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMON HISLOP (OWNER)
(860) 967-2758
Entity
Organization
Contact information
Practice address
49 ATHOL ST, SPRINGFIELD, MA 01107-1310
(413) 523-8111
Mailing address
49 ATHOL ST, SPRINGFIELD, MA 01107-1310
(413) 523-8111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
09/07/2019
Last updated
09/07/2019
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