Healthcare Provider Details

I. General information

NPI: 1932848132
Provider Name (Legal Business Name): COMPREHENSIVE CARE NURSING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2022
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 BLANCHARD ST STE 205-7
LAWRENCE MA
01843-1454
US

IV. Provider business mailing address

15 NEWBURY ST
DRACUT MA
01826-5705
US

V. Phone/Fax

Practice location:
  • Phone: 978-955-5923
  • Fax:
Mailing address:
  • Phone: 978-955-5923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID MUGWE
Title or Position: PRESIDENT/CEO
Credential:
Phone: 781-583-1355