Organization
LAMOUR BY DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GUAN QUATEZ' ELLERBE (SOCIAL WORKER)
(774) 444-4916
Entity
Organization
Contact information
Practice address
500 N MAIN ST STE A, RANDOLPH, MA 02368-6700
(774) 444-4916
Mailing address
1215 WARREN AVE, #2REAR, BROCKTON, MA 02301-6856
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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