Healthcare Provider Details

I. General information

NPI: 1699507053
Provider Name (Legal Business Name): LIFEFIRST HOME CARE SOLUTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 WENDELL AVE STE 100
PITTSFIELD MA
01201-7066
US

IV. Provider business mailing address

7 GORHAM ST UNIT 64
CHELMSFORD MA
01824-2957
US

V. Phone/Fax

Practice location:
  • Phone: 978-710-1119
  • Fax:
Mailing address:
  • Phone: 978-710-1119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: AFIA OSEI ASSIBEY
Title or Position: NURSE
Credential: RN-BSN
Phone: 978-710-1119