Organization
CITY HOME CARE, LLC
Active
Other names
city home care, LLC GAFC
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS LIPSKIY (PROGRAM DIRECTOR)
(617) 964-2489
Entity
Organization
Contact information
Practice address
425 LAKE AVE N STE 102, WORCESTER, MA 01605-2073
(617) 964-2489
(617) 964-2496
Mailing address
425 LAKE AVE N STE 102, WORCESTER, MA 01605-2073
(617) 964-2489
(617) 964-2490
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092840B
—
MA
Enumeration date
07/28/2015
Last updated
08/29/2024
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