# PARK CITY HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** none
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033988316
- **Authorized official:** LUIS VILLEGAS (CEO)
- **Authorized official phone:** (203) 870-8008

## Contact information

- **Practice address:** 80 ELM ST, BRIDGEPORT, CT 06604-4115
- **Practice address phone:** (203) 870-8008
- **Practice address fax:** (203) 330-8007
- **Mailing address:** 80 ELM ST, BRIDGEPORT, CT 06604-4115
- **Mailing address phone:** (203) 870-8008

## Taxonomy

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

## Other

- **Enumeration date:** 12/27/2023
- **Last updated:** 01/01/2024