Organization
MERCY COMMUNITY HOMECARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN D BEAULIEU CPA (TREASURER)
(860) 570-8304
Entity
Organization
Contact information
Practice address
2021 ALBANY AVENUE, WEST HARTFORD, CT 06117
(860) 586-8318
(860) 586-8418
Mailing address
275 STEELE ROAD, WEST HARTFORD, CT 06117-2755
(860) 586-8318
(860) 586-8418
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
C9815005
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004188274
—
CT
05
—
044188274
—
CT
01
—
4113776
CCCI
CT
Enumeration date
09/26/2005
Last updated
06/17/2010
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