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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAMAR ISSIAH BRADSHAW (OWNER)
(508) 851-4581
Entity
Organization

Contact information

Practice address
72 BROADWAY #1, HAVERHILL, MA 01832
(508) 851-4581
Mailing address
72 BROADWAY # 1, HAVERHILL, MA 01832-4755
(508) 851-4581

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
S81081624
MA

Other

Enumeration date
05/04/2015
Last updated
05/04/2015
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