Organization
AGEWISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE DE LA ROSA (CEO)
(617) 312-4649
Entity
Organization
Contact information
Practice address
891 CENTRE ST, BOSTON, MA 02130-2776
(617) 312-4649
Mailing address
891 CENTRE ST, BOSTON, MA 02130-2776
(617) 312-4649
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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