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Organization
WOLVERINE CORPORATION
Active
Organization
WOLVERINE CORPORATION
Active
Other names
Charles HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SHANG LEW (PRESIDENT)
(914) 419-9610
Entity
Organization
Contact information
Practice address
20 TOWER LN STE 500, AVON, CT 06001-4263
(914) 419-9610
(845) 226-1305
Mailing address
20 TOWER LN STE 500, AVON, CT 06001-4263
(914) 419-9610
(845) 226-1305
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCA.0000795
CT
251E00000X
Home Health Agency
—
NULL
Other
Enumeration date
10/29/2015
Last updated
09/02/2022
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