Organization
WHITE ROSE HOME HEALTHCARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODYANN N PRENDERGAST (CEO/PRESIDENT)
(203) 683-6055
Entity
Organization
Contact information
Practice address
1000 LAFAYETTE BLVD, SUITE 1100, BRIDGEPORT, CT 06604-4725
(203) 683-6055
(203) 683-5901
Mailing address
1000 LAFAYETTE BLVD, SUITE 1100, BRIDGEPORT, CT 06604-4725
(203) 683-6055
(203) 683-5901
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0001039
CT
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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