Organization
HOUSECALL PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAITRA CHANNAPPA MD (STAFF PHYSICIAN)
(774) 343-2432
Entity
Organization
Contact information
Practice address
31 HOME DEPOT DR STE 283, PLYMOUTH, MA 02360-2669
(774) 343-2432
Mailing address
31 HOME DEPOT DR STE 283, PLYMOUTH, MA 02360-2669
(319) 400-6636
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271152
LICENSE
MA
Enumeration date
09/22/2017
Last updated
07/21/2022
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