Organization
MIRAH SAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRAH SAND OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(401) 527-1649
Entity
Organization
Contact information
Practice address
45 ORCHARDHILL RD, JAMAICA PLAIN, MA 02130-3724
(401) 527-1649
Mailing address
45 ORCHARDHILL RD, JAMAICA PLAIN, MA 02130-3724
(401) 527-1649
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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