Organization
VITAL CARE OF CONNECTICUT, INC
Active
Other names
VITAL CARE OF CONNECTICUT
Organization subpart
No
Provider details
NPI number
Authorized official
LEYLA SOKMEN (OWNER)
(203) 845-0616
Entity
Organization
Contact information
Practice address
189 MAIN ST, NORWALK, CT 06851-3607
(203) 845-0616
(203) 845-0736
Mailing address
189 MAIN ST, NORWALK, CT 06851-3607
(203) 845-0616
(203) 845-0736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PC40002019
CT
332BC3200X
Customized Equipment (DME)
PC40002019
CT
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PC40002019
CT
332BX2000X
Oxygen Equipment & Supplies (DME)
PC40002019
CT
333600000X
Pharmacy
PC40002019
CT
3336C0003X
Community/Retail Pharmacy
PC40002019
CT
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PC40002019
CT
3336L0003X
Long Term Care Pharmacy
PC40002019
CT
3336M0002X
Mail Order Pharmacy
PC40002019
CT
3336S0011X
Specialty Pharmacy
PC40002019
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004258720
—
CT
05
—
004258738
—
CT
01
—
870000755
LOCAL MEDICARE PART B
CT
Enumeration date
08/29/2006
Last updated
11/24/2010
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