Organization
S&M KODAM LLC D/B/A VISITING ANGELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHRAVAN KUMAR KODAM (DIRECTOR/OWNER)
(617) 750-3858
Entity
Organization
Contact information
Practice address
853 N MAIN ST STE 201, LEOMINSTER, MA 01453-1424
(978) 227-5263
Mailing address
853 N MAIN ST STE 201, LEOMINSTER, MA 01453-1424
(978) 227-5263
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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