Organization
ANGKOR ADULT FOSTER CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANISH PATEL (CEO)
(781) 405-2597
Entity
Organization
Contact information
Practice address
5 WEBBER ST UNIT 1, LOWELL, MA 01851-1649
(781) 405-2597
Mailing address
5 WEBBER ST UNIT 1, LOWELL, MA 01851-1649
(781) 405-2597
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/18/2022
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