Provider Demographics
NPI:1235226465
Name:INFUSION PLUS LLC
Entity Type:Organization
Organization Name:INFUSION PLUS LLC
Other - Org Name:MIDDLESEX HEALTH CARE AGENCY LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNI, MHA
Authorized Official - Phone:617-823-8763
Mailing Address - Street 1:36 LUNDA STREET
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451
Mailing Address - Country:US
Mailing Address - Phone:617-823-8763
Mailing Address - Fax:617-398-3043
Practice Address - Street 1:721 MAIN STREET SUITE, 305
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-3613
Practice Address - Country:US
Practice Address - Phone:617-823-8763
Practice Address - Fax:781-899-2910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MATTPI251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care