Organization
PELTON'S INC.
Active
Other names
Pelton's Home Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY D. BROOKS (PRESIDENT)
(860) 347-7880
Entity
Organization
Contact information
Practice address
90 MAIN ST, MIDDLETOWN, CT 06457-3415
(860) 346-3336
(860) 346-1259
Mailing address
899 SILAS DEANE HWY, WETHERSFIELD, CT 06109-3427
(860) 571-6351
(860) 571-0369
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12DME0089CT01
BLUE CROSS PROVIDER NUMBE
—
Enumeration date
05/27/2006
Last updated
08/22/2020
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