Individual
RAYNASHA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 CAPITAL BLVD FL 4, ROCKY HILL, CT 06067-3914
(959) 200-1886
Mailing address
175 CAPITAL BLVD FL 4, ROCKY HILL, CT 06067-3914
(959) 200-1886
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCA.002138
CT
385H00000X
Respite Care
HCA.002138
CT
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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