Organization
CONNECTICUT PROVIDER OF HOME CARE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYN CLARK (MANAGER)
(203) 792-2273
Entity
Organization
Contact information
Practice address
208 GREENWOOD AVE, UNIT 10, BETHEL, CT 06801-2130
(203) 792-2273
(203) 826-7887
Mailing address
208 GREENWOOD AVE, UNIT 10, BETHEL, CT 06801-2130
(203) 792-2273
(203) 826-7887
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
02/29/2016
Last updated
02/25/2021
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