Provider Demographics
NPI:1194192427
Name:MALAMAV HOME HEALTH CARE AGENCY, INC.
Entity Type:Organization
Organization Name:MALAMAV HOME HEALTH CARE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KERLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBROSSE-PIARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-569-4924
Mailing Address - Street 1:167 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1797
Mailing Address - Country:US
Mailing Address - Phone:781-569-4924
Mailing Address - Fax:
Practice Address - Street 1:167 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1797
Practice Address - Country:US
Practice Address - Phone:781-569-4924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-21
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health