MEDICARE: IGBOBIS HEALTH CARE GROUP

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1881839918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IGBOBIS HEALTH CARE GROUP

Provider Business Mailing Address
First Line	:	34 FLORENCE AVE
Second Line	:
City	:	S ATTLEBORO
State	:	MA
Zip	:	02703-7604
Country	:	US
Telephone Number	:	781-405-4952
Fax Number	:	508-639-9142

Provider Business Practice Location Address
First Line	:	34 FLORENCE AVE
Second Line	:
City	:	S ATTLEBORO
State	:	MA
Zip	:	02703-7604
Country	:	US
Telephone Number	:	781-405-4952
Fax Number	:	508-639-9142

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. VALENTINE N IGBOBI
Credential	:
Telephone Number	:	781-405-4952

Provider Enumeration Date	:	12/03/2008
Last Update Date	:	12/03/2008

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