Organization
LIFE CARE AT HOME OF MASSACHUSETTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA RAU (VP OF FINANCE)
(423) 473-5280
Entity
Organization
Contact information
Practice address
73 STEVENS ST, EAST TAUNTON, MA 02718-1319
(508) 822-6066
(508) 822-9820
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5256
(423) 339-8356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0607401
—
MA
01
—
120400
BLUE CROSS
MA
01
—
702253
HARVARD PILGRIM
MA
Enumeration date
10/27/2005
Last updated
12/09/2011
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