Prosperin 21 St LLC
NPI #1902296783 in Wakefield, Massachusetts
Provider Information
- NPI Number
- 1902296783
- Entity Type
- Organization
- Organization Name
- Prosperin 21 St LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROSPERIN 21 ST LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Jan 30, 2015
- Last Updated
- Dec 27, 2016
Practice Location
- Address
- 301 EDGEWATER PL
- City
- Wakefield
- State
- Massachusetts
- ZIP Code
- 01880-1293
- Phone
- (781) 856-0539
Authorized Official
- Name
- JEANNETTE MUKANDORI NDAHUNGA, LPN
- Title
- PRESIDENT/ SECRETARY
- Phone
- (781) 856-0539
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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