Healthcare Provider Details

I. General information

NPI: 1356191183
Provider Name (Legal Business Name): SUNDRY HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 05/04/2024
Certification Date: 05/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ALLIED DR STE 303
DEDHAM MA
02026-6148
US

IV. Provider business mailing address

3 ALLIED DR STE 303
DEDHAM MA
02026-6148
US

V. Phone/Fax

Practice location:
  • Phone: 617-249-3047
  • Fax:
Mailing address:
  • Phone: 617-249-3047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: PETROY THOMPSON
Title or Position: PRESIDENT/CHIEF EXECUTIVE OFFICER
Credential:
Phone: 617-249-3047