Individual
MR. MICHAEL OMOREGIE OMIGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
908 ASH ST, BROCKTON, MA 02301-6214
(857) 247-1481
Mailing address
908 ASH ST, BROCKTON, MA 02301-6214
(857) 247-1481
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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