Organization
MAYOTTE HEALTH CARE AGENT LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSETTE DELVA MDS (CEO, PRESIDENT)
(857) 417-4293
Entity
Organization
Contact information
Practice address
51 MAPLE ST, HYDE PARK, MA 02136-2738
(857) 506-9204
Mailing address
37 BELMONT ST, SUITE 3B, BROCKTON, MA 02301
(857) 417-4293
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
163WC1500X
Community Health Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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