Organization
HOLISTIC HOME HEALTH AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EPHRAIM MORISSET I LPN (PRESIDENT)
(617) 230-2922
Entity
Organization
Contact information
Practice address
859 WILLARD ST, QUINCY, MA 02169-7482
(617) 230-2922
(800) 985-5354
Mailing address
859 WILLARD ST, QUINCY, MA 02169-7482
(617) 230-2922
(800) 985-5354
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TK70
HOME HEALTH AGENCY
MA
Enumeration date
04/01/2019
Last updated
04/01/2019
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