Organization
BIMMAC HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMACULATE KOFI (OWNER)
(781) 354-2504
Entity
Organization
Contact information
Practice address
529 MAIN ST STE P200, CHARLESTOWN, MA 02129-1125
(857) 389-3853
Mailing address
529 MAIN ST STE P200, CHARLESTOWN, MA 02129-1125
(857) 389-3853
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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