Organization
BEACON HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN G WAWERU (MANAGER)
(857) 417-2609
Entity
Organization
Contact information
Practice address
500 W CUMMINGS PARK, SUITE 1300, WOBURN, MA 01801-6503
(857) 417-2608
Mailing address
500 W CUMMINGS PARK, SUITE 1300, WOBURN, MA 01801-6503
(857) 417-2608
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/18/2014
Last updated
06/18/2014
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