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Organization
PANDA HOME CARE AGENCY INC.
Active
Organization
PANDA HOME CARE AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J. CASSANDRA JR. (VICE PRESIDENT)
(860) 633-5907
Entity
Organization
Contact information
Practice address
3011 MAIN STREET, GLASTONBURY, CT 06033-1029
(860) 633-5907
(860) 633-3904
Mailing address
3011 MAIN STREET, GLASTONBURY, CT 06033-1029
(860) 633-5907
(860) 633-3904
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HCA.0000123
CT
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4093572
CT. HOME CARE PROGRAM
CT
01
—
HCA.0000123
DEPART OF CONSUMER PROTEC
CT
Enumeration date
04/23/2007
Last updated
08/23/2023
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