# LIFEHOUSE COMMUNITY CARE, LLC

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

## Provider details

- **NPI number:** 1588932529
- **Authorized official:** MR. DOUGLAS N GREMO JR. (CEO)
- **Authorized official phone:** (860) 315-9007

## Contact information

- **Practice address:** 554 LIBERTY HIGHWAY UNIT 2, PUTNAM, CT 06260
- **Practice address phone:** (860) 315-9007
- **Mailing address:** PO BOX 135, DAYVILLE, CT 06241-0135
- **Mailing address phone:** (860) 315-9007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 54539580 | CT | Yes |

## Other

- **Enumeration date:** 12/05/2011
- **Last updated:** 10/12/2012