Organization
LIVINGWELL FOSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOLA IDAHOR (RN)
(617) 519-8195
Entity
Organization
Contact information
Practice address
53 OAK ST, HYDE PARK, MA 02136-2744
(617) 519-8195
Mailing address
53 OAK ST, HYDE PARK, MA 02136-2744
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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