Organization
FAMILY CARE EXTENDED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANATOLIY S RIVKIN (VP)
(781) 449-5155
Entity
Organization
Contact information
Practice address
687 HIGHLAND AVE, NEEDHAM, MA 02494-2232
(781) 449-5155
Mailing address
687 HIGHLAND AVE, NEEDHAM, MA 02494-2232
(781) 449-5155
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0611247
—
MA
Enumeration date
04/06/2006
Last updated
12/21/2011
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