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Organization
MERCY HOME CARE OF CONNECTICUT, INC.
Active
Organization
MERCY HOME CARE OF CONNECTICUT, INC.
Active
Other names
Mercy Cares Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD J FREDHEIM (PRESIDENT & CEO)
(203) 852-0773
Entity
Organization
Contact information
Practice address
2 LIBRARY PL, UNIT B, BETHEL, CT 06801-2106
(203) 796-0143
(203) 796-0163
Mailing address
28 KNIGHT ST, NORWALK, CT 06851-4719
(203) 852-0773
(203) 299-0415
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004180593
WELLCARE
CT
05
—
004180593
—
CT
01
—
12DME0964CT02
ANTHEM BC/BS
CT
01
—
A893738
OXFORD HEALTH PLANS
CT
Enumeration date
09/11/2008
Last updated
09/11/2008
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