Provider Demographics
NPI:1275859241
Name:ARBORS HOME HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:ARBORS HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRALIA
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:413-585-4585
Mailing Address - Street 1:200 N MAIN ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-2392
Mailing Address - Country:US
Mailing Address - Phone:413-525-4278
Mailing Address - Fax:413-525-0313
Practice Address - Street 1:200 N MAIN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-2392
Practice Address - Country:US
Practice Address - Phone:413-525-4278
Practice Address - Fax:413-525-0313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health