22D0935623 CLIA NUMBER - HEBREW SENIORLIFE HOME CARE

Laboratory Demographics

CLIA Number: 22D0935623

Facility Name: HEBREW SENIORLIFE HOME CARE

Facility Address:
29 NEWBRIDGE WAY
DEDHAM, MA
ZIP 02026
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Facility Phone Number: 781 821-3213

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1932443561

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 22D0935623
LAB Type Home Health Agency
Facility Name HEBREW SENIORLIFE HOME CARE
Street 29 NEWBRIDGE WAY
City DEDHAM
State MA
ZIP 02026
Phone 781 821-3213
CertificateType 4
CertificateEffectiveDate 11/4/2023
CertificateExpirationDate 11/3/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024