Organization
CONVERGENCE SUPPORT INITIATIVE INC.
Active
Other names
one on one home care services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MUWULYA (PRESIDENT)
(617) 467-4180
Entity
Organization
Contact information
Practice address
2802 STEARNS HILL RD, STEARNS HILL ROAD, WALTHAM, MA 02451-3356
(617) 467-4180
(617) 467-5361
Mailing address
815 WASHINGTON ST, SUITE 4, NEWTON, MA 02460-1690
(617) 467-4180
(617) 467-5361
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
T9FQ
MA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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