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Organization
WCFA INC. DBA SYNERGY HOMECARE OF EAST HAVEN
Active
Organization
WCFA INC. DBA SYNERGY HOMECARE OF EAST HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON A WALL (PRESIDENT)
(203) 691-5071
Entity
Organization
Contact information
Practice address
152 SALTONSTALL PKWY UNIT B, EAST HAVEN, CT 06512-2329
(203) 691-5071
(203) 594-8587
Mailing address
152 SALTONSTALL PKWY UNIT B, EAST HAVEN, CT 06512-2329
(203) 691-5071
(203) 594-8587
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCA.0001043
HOMEMAKER COMPANION REGISTRATION
CT
Enumeration date
04/03/2019
Last updated
04/03/2019
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