Organization
LIVING WISDOM HOME HEALTH AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDELIE JEAN BAPTISTE (ADMINISTRATOR)
(617) 733-5159
Entity
Organization
Contact information
Practice address
189 BELMONT ST, BROCKTON, MA 02301-5159
(617) 733-5159
Mailing address
189 BELMONT ST, BROCKTON, MA 02301-5159
(617) 733-5159
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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