Organization
FLORENCE COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND FAIREZ (ADMINISTRATOR)
(860) 890-5371
Entity
Organization
Contact information
Practice address
1585 MAIN ST, HARTFORD, CT 06120-2714
(860) 937-5451
(860) 937-5452
Mailing address
1585 MAIN ST, HARTFORD, CT 06120-2714
(860) 937-5451
(860) 937-5452
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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