Organization
COMMUNITY HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANN TACKIE RN, BSN (CEO)
(617) 953-5058
Entity
Organization
Contact information
Practice address
75 COMO RD, HYDE PARK, MA 02136-1904
(617) 953-5058
Mailing address
75 COMO RD, HYDE PARK, MA 02136-1904
(617) 953-5058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CC330695
MA
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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