Individual
CHARLES LWANGA MUKUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 NASHUA RD, NORTH BILLERICA, MA 01862-3159
(248) 635-9518
Mailing address
211 NASHUA RD, NORTH BILLERICA, MA 01862-3159
(248) 635-9518
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
382299394
MA
3747P1801X
Personal Care Attendant
Primary
$$$$$$$$$
MA
Other
Enumeration date
09/27/2024
Last updated
09/29/2024
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