Provider Demographics
NPI:1154797108
Name:WALD HOME HEALTHCARE SERVICES INC.
Entity type:Organization
Organization Name:WALD HOME HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIKARIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-427-4455
Mailing Address - Street 1:45 ROXBURY ST
Mailing Address - Street 2:
Mailing Address - City:ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02119-1720
Mailing Address - Country:US
Mailing Address - Phone:617-427-4455
Mailing Address - Fax:617-427-4450
Practice Address - Street 1:45 ROXBURY ST
Practice Address - Street 2:
Practice Address - City:ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02119-1720
Practice Address - Country:US
Practice Address - Phone:617-427-4455
Practice Address - Fax:617-427-4450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health