Organization Name: | SUPPORTIVE CARE |
NPI Number: | 1083980106 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SONYA PERRYMAN (VICE PRESIDENT) |
Mailing Address: | 6 Pleasant St Suite 414 Malden |
State: | MA US |
Postal Code: | 021485100 |
Phone Number: | 7813246333 |
Fax Number: | 7813247354 |
NPI Enumeration Date: | 03/23/2012 |
NPI Last Update Date: | 03/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |