Organization
CHANGE A LIFETIME COMPANIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA K WILSON (OPERATIONS DIRECTOR)
(203) 345-8992
Entity
Organization
Contact information
Practice address
168 WAINWRIGHT PLACE, STRATFORD, CT 06614
(203) 345-8992
(203) 345-8992
Mailing address
168 WAINWRIGHT PLACE, STRATFORD, CT 06614
(203) 345-8992
(203) 345-8992
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
05/06/2008
Last updated
04/19/2012
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