Organization
JORDAN HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE R WILSON REGISTERED NURSE (MANAGER)
(617) 821-4923
Entity
Organization
Contact information
Practice address
2 BURLINGTON WOODS DR STE 100 ROOM 24, BURLINGTON, MA 01803-4551
(617) 821-4923
(617) 675-7002
Mailing address
2 BURLINGTON WOODS DR STE 100, BURLINGTON, MA 01803-4551
(617) 821-4923
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
05/18/2023
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