Provider Demographics
NPI:1023620309
Name:A&O DEVINE CARE LLC
Entity type:Organization
Organization Name:A&O DEVINE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOUDETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUIZIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-436-8659
Mailing Address - Street 1:630 PARK ST STE 210
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-3659
Mailing Address - Country:US
Mailing Address - Phone:781-436-8659
Mailing Address - Fax:
Practice Address - Street 1:630 PARK ST STE 210
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-3659
Practice Address - Country:US
Practice Address - Phone:781-436-8659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health