Ag Adult Foster Care LLC
NPI #1649665274 in Malden, Massachusetts
Provider Information
- NPI Number
- 1649665274
- Entity Type
- Organization
- Organization Name
- Ag Adult Foster Care LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Mar 31, 2015
- Last Updated
- Oct 7, 2024
Practice Location
- Address
- 30 EASTERN AVE. STE 300
- City
- Malden
- State
- Massachusetts
- ZIP Code
- 02148
- Phone
- (781) 605-3724
Authorized Official
- Name
- JOSE GONZALEZ
- Title
- PRESIDENT
- Phone
- (407) 319-1233
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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