Organization
MENLLA HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMEN IMA-IDUBOR (OWNER/ PRESIDENT)
(617) 704-1353
Entity
Organization
Contact information
Practice address
45 DAN RD, CANTON, MA 02021-2852
(617) 704-1353
Mailing address
91 HARVARD ST, DORCHESTER, MA 02124-1935
(617) 704-1353
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
12/19/2023
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