Individual
MRS. IDA MARIE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 CAPN LIJAHS RD, CENTERVILLE, MA 02632-1610
(508) 771-5904
Mailing address
4 CAPN LIJAHS RD, CENTERVILLE, MA 02632-1610
(508) 771-5904
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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