Organization
CITY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. I SHARGORODSKIY (OWNER)
(617) 823-3090
Entity
Organization
Contact information
Practice address
90 OAK ST, SUITE 402, NEWTON UPPER FALLS, MA 02464-1439
(617) 964-2489
Mailing address
90 OAK ST, SUITE 402, NEWTON UPPER FALLS, MA 02464-1439
(617) 964-2489
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
110092840B
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092840B
—
MA
Enumeration date
04/10/2014
Last updated
04/10/2014
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