Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI Number | 1508390584 |
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| LBN Legal business name | HARBORSIDE HOSPICE OF MASSACHUSETTS, LLC | ||||
| Authorized official | TIMOTHY BARRY - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/17/2017 | ||||
| Last updated | 04/17/2017 - About 9 years ago | ||||
| Identifiers |
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