Provider Demographics
NPI:1679301840
Name:PURE AID INCORPORATED
Entity type:Organization
Organization Name:PURE AID INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, PMP
Authorized Official - Phone:617-294-9851
Mailing Address - Street 1:571 BOSTON TPKE STE 3
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-5977
Mailing Address - Country:US
Mailing Address - Phone:617-294-9851
Mailing Address - Fax:617-286-3088
Practice Address - Street 1:2 DELLDALE ST APT 17
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2743
Practice Address - Country:US
Practice Address - Phone:617-294-9851
Practice Address - Fax:617-286-3088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health