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Organization

MAINSTAY SUPPORTIVE HOUSING AND HOME CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN SODERHOLM MPH (PROGRAM ADMINISTRATOR)
(781) 697-4662
Entity
Organization

Contact information

Practice address
100 BELLINGHAM ST, CHELSEA, MA 02150-3358
(617) 884-6333
(617) 884-3247
Mailing address
29 CRAFTS ST STE 260, NEWTON, MA 02458-1396
(617) 789-4500
(617) 789-5750

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
311ZA0620X
Adult Care Home Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110032782D
MA
Enumeration date
04/18/2007
Last updated
11/14/2024
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