Organization
ELDERS LOUNGE ADULT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA O KWARTENG LPN, MBA, LNHA (OWNER/DIRECTOR)
(860) 430-0377
Entity
Organization
Contact information
Practice address
20 KELLY RD, SOUTH WINDSOR, CT 06074-3118
(860) 430-0377
(860) 345-6427
Mailing address
20 KELLY RD, SOUTH WINDSOR, CT 06074-3118
(860) 430-0377
(860) 345-6427
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376G00000X
Nursing Home Administrator
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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