Organization
NORTHEAST PROFESSIONAL REGISTRY OF NURSES INC
Active
Other names
DBA Lahey Health at Home, Beth Israel Lahey Health at Home
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH COSTELLO RN (CHIEF OPERATING OFFICER)
(978) 712-1233
Entity
Organization
Contact information
Practice address
800 W CUMMINGS PARK STE 5000, WOBURN, MA 01801-6356
(781) 756-2488
(781) 756-2654
Mailing address
800 W CUMMINGS PARK STE 5000, WOBURN, MA 01801-6356
(781) 756-2488
(781) 756-2654
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
T6IL
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0608513
—
MA
Enumeration date
08/02/2006
Last updated
10/24/2024
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