# HERITAGE DIRECT CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174996706
- **Authorized official:** DR. JANE INMAN WALKER M.D. (MEMBER)
- **Authorized official phone:** (860) 874-5722

## Contact information

- **Practice address:** 61 BLOOMFIELD AVE, WINDSOR, CT 06095-2809
- **Practice address phone:** (860) 687-5722
- **Mailing address:** 61 BLOOMFIELD AVE, WINDSOR, CT 06095-2809
- **Mailing address phone:** (860) 687-5722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 028638 | CT | Yes |

## Other

- **Enumeration date:** 11/04/2015
- **Last updated:** 11/04/2015