Organization
CITY HOME CARE, LLC
Active
Other names
Loyal Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS LIPSKIY (ADMINISTRATOR)
(617) 964-2489
Entity
Organization
Contact information
Practice address
425 LAKE AVE N STE 102, WORCESTER, MA 01605-2073
(617) 964-2489
(617) 964-2490
Mailing address
425 LAKE AVE N STE 102, WORCESTER, MA 01605-2073
(617) 964-2489
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092840G
—
MA
Enumeration date
11/18/2010
Last updated
07/18/2024
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