Organization
PROSPERIN 21 ST LLC
Active
Other names
Home For Life Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNETTE M NDAHUNGA (OWNER)
(781) 842-3035
Entity
Organization
Contact information
Practice address
531 ESSEX ST, LYNN, MA 01902-3946
(781) 856-0539
(781) 584-6983
Mailing address
531 ESSEX ST, LYNN, MA 01902-3946
(781) 856-0539
(781) 584-6983
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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