Organization
PROSPERIN 21 ST LLC
Active
Parent organization
PROSPERIN 21 ST LLC
Other names
Healthbridge Home Care Solutions
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROSPERIN 21 ST LLC
Authorized official
JEANNETTE MUKANDORI NDAHUNGA LPN (PRESIDENT/ SECRETARY)
(781) 856-0539
Entity
Organization
Contact information
Practice address
301 EDGEWATER PL, WAKEFIELD, MA 01880-1293
(781) 856-0539
(781) 584-6983
Mailing address
301 EDGEWATER PLACE, SUITE 100, WAKEFIELD, MA 01880-6234
(781) 842-3035
(781) 584-6983
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MA
Other
Enumeration date
01/30/2015
Last updated
12/27/2016
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