MEDICARE: TWIN HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558784041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWIN HOME CARE LLC

Provider Business Mailing Address
First Line	:	301 EDGEWATER PL
Second Line	:	SUITE 100
City	:	WAKEFIELD
State	:	MA
Zip	:	01880-1293
Country	:	US
Telephone Number	:	781-968-5502
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 EDGEWATER PL
Second Line	:	SUITE 100
City	:	WAKEFIELD
State	:	MA
Zip	:	01880-1293
Country	:	US
Telephone Number	:	781-968-5502
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HASSANATU BAH
Credential	:
Telephone Number	:	781-968-5502

Provider Enumeration Date	:	02/04/2014
Last Update Date	:	02/04/2014

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Directions to “TWIN HOME CARE LLC ” Practice Location

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