MEDICARE: SONALI HEALTHCARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163W00000X	Registered Nurse
2	253Z00000X	In Home Supportive Care Agency
3	282N00000X	General Acute Care Hospital
4	283X00000X	Rehabilitation Hospital
5	310400000X	Assisted Living Facility
6	374U00000X	Home Health Aide
7	385H00000X	Respite Care
8	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1356053821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONALI HEALTHCARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	6 TOZER ROAD
Second Line	:	SUITE 32
City	:	BEVERLY
State	:	MA
Zip	:	01915-1058
Country	:	US
Telephone Number	:	781-526-3334
Fax Number	:	978-268-6119

Provider Business Practice Location Address
First Line	:	6 TOZER ROAD
Second Line	:	SUITE 32
City	:	BEVERLY
State	:	MA
Zip	:	01915-0191
Country	:	US
Telephone Number	:	781-526-3334
Fax Number	:	978-268-6119

Authorized Official
Title or Position	:	OWNER
Name	:	DOROTHY MUSISI MLEKELWA
Credential	:	RN, BSN
Telephone Number	:	781-526-3334

Provider Enumeration Date	:	12/15/2022
Last Update Date	:	12/15/2022

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Directions to “SONALI HEALTHCARE SERVICES, LLC ” Practice Location

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