Organization
PENIEL HOMECARE AGENCY
Active
Other names
Peniel Homecare Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE ASUMADU (OWNER)
(608) 894-0975
Entity
Organization
Contact information
Practice address
101 BURBANK RD, ELLINGTON, CT 06029-2806
(860) 894-0975
Mailing address
101 BURBANK RD, ELLINGTON, CT 06029-2806
(860) 402-4857
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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