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Organization

HUNTLEIGH HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT S. ANGEL (PRES/CEO)
(800) 223-1218
Entity
Organization

Contact information

Practice address
1200 MILLBURY ST, BLDG. 9 UNITS A, B, C, WORCESTER, MA 01607-1475
(508) 767-3404
(508) 767-3405
Mailing address
40 CHRISTOPHER WAY, EATONTOWN, NJ 07724-3327
(800) 223-1218
(732) 676-1096

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005577
SWH
MA
01
124890
FALLON
MA
05
1540386
MA
01
82-01021
EVERCARE
MA
Enumeration date
03/21/2007
Last updated
11/14/2007
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