Healthcare Provider Details

I. General information

NPI: 1184327942
Provider Name (Legal Business Name): HEKIMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 03/22/2023
Certification Date: 03/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 MAIN ST STE 207
TEWKSBURY MA
01876-1854
US

IV. Provider business mailing address

853 MAIN ST STE 207
TEWKSBURY MA
01876-1854
US

V. Phone/Fax

Practice location:
  • Phone: 781-417-9867
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARGARET MBUTHIA
Title or Position: OWNER
Credential:
Phone: 781-417-9867