| Nizhoni Community Care Llc | |
|
5 Middlesex Ave Suite 404 Somerville MA 02145-1102 | |
| (617) 623-3211 | |
| (617) 284-5983 |
| Full Name | Nizhoni Community Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5 Middlesex Ave, Somerville, Massachusetts |
| Authorized Official Name and Position | Joseph P Mcdonough (MEMBER MANAGER) |
| Authorized Official Contact | 6176233211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nizhoni Community Care Llc 5 Middlesex Ave Suite 404 Somerville MA 02145-1102 Ph: (617) 623-3211 | Nizhoni Community Care Llc 5 Middlesex Ave Suite 404 Somerville MA 02145-1102 Ph: (617) 623-3211 |
| NPI Number | 1669798773 |
|---|---|
| Provider Enumeration Date | 04/14/2010 |
| Last Update Date | 04/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669798773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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