Organization
BOSTON HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAAZA SHAWANGIZOW (ASSISTANT DIRECTOR OF NURSES)
(339) 226-0862
Entity
Organization
Contact information
Practice address
12A ELMWOOD ST, REVERE, MA 02151-4540
(339) 226-0862
Mailing address
12A ELMWOOD ST, REVERE, MA 02151-4540
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
8309
MA
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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