Lilachomebase
NPI #1790356103 in Wakefield, Massachusetts
Provider Information
- NPI Number
- 1790356103
- Entity Type
- Organization
- Organization Name
- Lilachomebase
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jul 7, 2021
- Last Updated
- Jul 7, 2021
Practice Location
- Address
- 201 VERNON ST
- City
- Wakefield
- State
- Massachusetts
- ZIP Code
- 01880-1911
- Phone
- (717) 319-0278
Authorized Official
- Name
- JOYCE W WAMBUI, NURSE
- Title
- LPN
- Phone
- (717) 319-0278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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