Organization
CREATING INDEPENDENCE OT AND NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE ANN BROWN FNP-C, OTR/L (OWNER)
(781) 879-0917
Entity
Organization
Contact information
Practice address
65 DODGE ST UNIT C, BEVERLY, MA 01915-1700
(978) 406-9664
Mailing address
82 BLUEBERRY LN, SOUTH HAMILTON, MA 01982-1204
(781) 879-0917
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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