Provider Demographics
NPI:1649748468
Name:WJM HOME CARE, LLC
Entity type:Organization
Organization Name:WJM HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLIENT CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-662-2273
Mailing Address - Street 1:1 NELSON TER STE 1
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3192
Mailing Address - Country:US
Mailing Address - Phone:781-662-2273
Mailing Address - Fax:
Practice Address - Street 1:1 NELSON TER STE 1
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3192
Practice Address - Country:US
Practice Address - Phone:781-662-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME INSTEAD SENIOR CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care