Provider Demographics
NPI:1588044069
Name:BRYMAC HOMEHEALTH LLC
Entity Type:Organization
Organization Name:BRYMAC HOMEHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-401-7574
Mailing Address - Street 1:9 CENTRAL ST STE 403
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1930
Mailing Address - Country:US
Mailing Address - Phone:978-401-7574
Mailing Address - Fax:
Practice Address - Street 1:9 CENTRAL ST STE 403
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1930
Practice Address - Country:US
Practice Address - Phone:978-401-7574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health