# AUTHENTIC HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1346601986
- **Authorized official:** MRS. CLAUDETTE BLAKE (MEMBER)
- **Authorized official phone:** (203) 549-8746

## Contact information

- **Practice address:** 335 DEXTER DR, BRIDGEPORT, CT 06606-1305
- **Practice address phone:** (203) 374-3857
- **Practice address fax:** (203) 540-5569
- **Mailing address:** 361 WAYNE STREET, BRIDGEPORT, CT 06606
- **Mailing address phone:** (203) 549-8746
- **Mailing address fax:** (203) 540-5569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA0000453 | CT | Yes |

## Other

- **Enumeration date:** 03/10/2016
- **Last updated:** 03/10/2016