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Organization

IMMACULATE HOME HEALTH CARE SERVICES

Active
Parent organization
IMMACULATE HEALTH CARE SERVICES LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
IMMACULATE HEALTH CARE SERVICES LLC
Authorized official
NADIA MILDRED WOGHIREN PMHNP, MSN (CEO)
(857) 488-6610
Entity
Organization

Contact information

Practice address
21 HARDING RD, ROSLINDALE, MA 02131-3808
(857) 488-6610
Mailing address
21 HARDING RD, ROSLINDALE, MA 02131-3808
(857) 488-6610

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
372500000X
Chore Provider
372600000X
Adult Companion
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide

Other

Enumeration date
04/12/2023
Last updated
04/12/2023
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