Organization
GREATER LIFE AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD NIMMONS (OWNER)
(857) 246-8190
Entity
Organization
Contact information
Practice address
3108B WASHINGTON ST, BOSTON, MA 02119-3115
(857) 246-8190
Mailing address
3108B WASHINGTON ST, BOSTON, MA 02119-3115
(857) 246-8190
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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