Organization
LILAC HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET MUTHONI KURIA RN-BSN (CEO/PRESIDENT)
(508) 736-0701
Entity
Organization
Contact information
Practice address
210 PARK AVE, SUITE 162, WORCESTER, MA 01609-2246
(508) 736-0701
Mailing address
210 PARK AVE, SUITE 162, WORCESTER, MA 01609-2246
(508) 736-0701
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
001199369
MA
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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