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Organization
LIFESPAN HOME HEALTHCARE AGENCY, LLC
Active
Organization
LIFESPAN HOME HEALTHCARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA I MIRANDA RN (MANAGING MEMBER)
(860) 500-9455
Entity
Organization
Contact information
Practice address
199 OAKWOOD AVE, WEST HARTFORD, CT 06119-2150
(860) 500-9455
Mailing address
199 OAKWOOD AVE, WEST HARTFORD, CT 06119-2150
(860) 500-9455
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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