Organization
LWGG NURSYS CARE
Active
Other names
LWGG Nursys Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LHENS F JUSTE (OFFCE MANAGER)
(617) 259-6276
Entity
Organization
Contact information
Practice address
112 SPENCER ST STE 1B, MANCHESTER, CT 06040-4601
(617) 259-6276
Mailing address
112 SPENCER ST STE 1B, MANCHESTER, CT 06040-4601
(617) 259-6276
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000000
—
CT
Enumeration date
10/05/2018
Last updated
10/05/2018
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