Organization
PLKJ INC.
Active
Other names
visiting angels
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH RICHARD JORDAN (OWNER/ADMINISTRATOR)
(508) 764-6700
Entity
Organization
Contact information
Practice address
50 ELM ST, SOUTHBRIDGE, MA 01550-2648
(508) 764-6700
Mailing address
50 ELM ST, SOUTHBRIDGE, MA 01550-2648
(508) 764-6700
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
8148
MA
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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