# WISHART HOMECARE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wishart home care, Wishart homecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033676127
- **Authorized official:** JENNELLA CARRYL (OWNER)
- **Authorized official phone:** (203) 706-6404

## Contact information

- **Practice address:** 39 MAYNARD AVE, WATERBURY, CT 06708-2005
- **Practice address phone:** (203) 706-6404
- **Mailing address:** 39 MAYNARD AVE, WATERBURY, CT 06708-2005
- **Mailing address phone:** (203) 706-6404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/25/2019
- **Last updated:** 02/25/2019