Organization
ELEVATED LIFESTYLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WINNIE NABAWESI MD (OWNER)
(508) 904-2782
Entity
Organization
Contact information
Practice address
388 BERLIN RD, MARLBOROUGH, MA 01752
(508) 904-2782
Mailing address
388 BERLIN RD, MARLBOROUGH, MA 01752
(508) 904-2782
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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