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Organization

PETRA HEALTH CARE LLC

Active
Parent organization
PETRA HEALTH CARE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PETRA HEALTH CARE LLC
Authorized official
JOHN WACHIRA (OWNER)
(978) 828-8322
Entity
Organization

Contact information

Practice address
331 MAIN ST, SOUTHBRIDGE, MA 01550-3734
(978) 828-8322
Mailing address
331 MAIN ST, SOUTHBRIDGE, MA 01550-3734
(978) 828-8322

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
11/02/2015
Last updated
11/02/2015
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