Organization
FOMUKAM HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGETTE KAMDOUM (OWNER)
(617) 935-3004
Entity
Organization
Contact information
Practice address
9 CASHMAN PL, BROCKTON, MA 02301-1733
(617) 935-3004
Mailing address
9 CASHMAN PL, BROCKTON, MA 02301-1733
(617) 935-3004
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/05/2020
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