Organization
PROFESSIONAL CARE AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKESHA TAYLOR (OWNER)
(475) 235-8454
Entity
Organization
Contact information
Practice address
27 SIEMON COMPANY DR, WATERTOWN, CT 06795-2654
(475) 235-8454
Mailing address
27 SIEMON COMPANY DR, WATERTOWN, CT 06795-2654
(475) 235-8454
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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