Organization
REGISTERED NURSE AGENCY
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NOSAYABA ESTHER IZEDONMWEN RN (REGISTERED NURSE)
(617) 275-9385
Entity
Organization
Contact information
Practice address
580 SHAWMUT AVE, APT 1A, BOSTON, MA 02118-1775
(617) 275-9385
Mailing address
580 SHAWMUT AVE APT 1A, BOSTON, MA 02118-1775
(617) 275-9385
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
2268310
MA
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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