Connecticut Provider of Home Care L.l.c.
NPI #1124488432 in Bethel, Connecticut
Provider Information
- NPI Number
- 1124488432
- Entity Type
- Organization
- Organization Name
- Connecticut Provider of Home Care L.l.c.
- Primary Specialty
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Enumeration Date
- Feb 29, 2016
- Last Updated
- Feb 25, 2021
Practice Location
- Address
- 208 GREENWOOD AVE
- Address 2
- UNIT 10
- City
- Bethel
- State
- Connecticut
- ZIP Code
- 06801-2130
- Phone
- (203) 792-2273
Authorized Official
- Name
- MR. DARYN CLARK
- Title
- MANAGER
- Phone
- (203) 792-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Program of All-Inclusive Care for the Elderly (PACE) Provider Organization |
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