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Organization
MAYFLOWER QUALITY CARE
Active
Organization
MAYFLOWER QUALITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE EDWARD MACK (PRESIDENT)
(860) 269-3058
Entity
Organization
Contact information
Practice address
210 PLAINFIELD ST, HARTFORD, CT 06112-1364
(860) 817-7589
Mailing address
PO BOX 380587, EAST HARTFORD, CT 06138-0587
(860) 269-3058
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
302F00000X
Exclusive Provider Organization
—
NULL
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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