Healthcare Provider Details

I. General information

NPI: 1457741290
Provider Name (Legal Business Name): CONTEE HEALTHCARE AGENCY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2015
Last Update Date: 02/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 MAIN ST SUITE NUMBER 812
WORCESTER MA
01608-1604
US

IV. Provider business mailing address

2 TOWNHOUSE LANE APARTMENT 3
ACTON MA
01850
US

V. Phone/Fax

Practice location:
  • Phone: 508-232-6957
  • Fax:
Mailing address:
  • Phone: 508-232-6967
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateMA

VIII. Authorized Official

Name: JAYEE BOHN
Title or Position: VICE PRESIDENT
Credential:
Phone: 508-232-6957