Provider Demographics
NPI:1336691005
Name:SELECT CARE LLC
Entity Type:Organization
Organization Name:SELECT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MS.
Authorized Official - Prefix:
Authorized Official - First Name:LADAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-749-7732
Mailing Address - Street 1:2343 WASHINGTON ST STE 7
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02119-3200
Mailing Address - Country:US
Mailing Address - Phone:617-749-7732
Mailing Address - Fax:
Practice Address - Street 1:2343 WASHINGTON ST STE 7
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02119-3200
Practice Address - Country:US
Practice Address - Phone:617-749-7732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-28
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care