Elevated Lifestyle LLC
Home Health in Marlborough, MA. Organization (NPI-2).
NPI number1386320265
StatusActive
Last updated in NPPESJun 26, 2023
Details
- NPI
- 1386320265
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevated Lifestyle LLC
- Organization subpart
- No
- Enumeration date
- Jun 26, 2023
- Certification date
- Jun 25, 2023
- Last updated
- Jun 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
388 Berlin RdMarlborough, MA 01752
Phone 508-904-2782
Mailing address
388 Berlin RdMarlborough, MA 01752
Phone 508-904-2782
Authorized official
Winnie Nabawesi
Owner
5089042782
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