Colman Life Breakthrough LLC
NPI #1093369472 in Tewksbury, Massachusetts
Provider Information
- NPI Number
- 1093369472
- Entity Type
- Organization
- Organization Name
- Colman Life Breakthrough LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COLMAN LIFE BREAKTHROUGH LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Jul 24, 2019
- Last Updated
- Mar 1, 2021
Practice Location
- Address
- 227 FOSTER RD
- City
- Tewksbury
- State
- Massachusetts
- ZIP Code
- 01876-2809
- Phone
- (857) 249-8804
Authorized Official
- Name
- MRS. LERREA MADELEINE MENGATA, LPN
- Title
- INDEPENDENT NURSE
- Phone
- (857) 249-8804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
| Home Health |
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