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Organization
OUR FAMILY HOME HEALTHCARE
Active
Organization
OUR FAMILY HOME HEALTHCARE
Active
Parent organization
CONNECTICUT HEALTHCARE
Other names
Connecticut Healthcare, Connecticut Health Care Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONNECTICUT HEALTHCARE
Authorized official
SHAQUILLE HENRY (OWNER)
(203) 908-5641
Entity
Organization
Contact information
Practice address
330 GRANFIELD AVE, BRIDGEPORT, CT 06610-2305
(203) 916-9020
Mailing address
435 S 5TH AVE, MOUNT VERNON, NY 10550-4417
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/03/2018
Last updated
09/24/2019
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