Organization
AUTHENTIC HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDETTE BLAKE (MEMBER)
(203) 549-8746
Entity
Organization
Contact information
Practice address
335 DEXTER DR, BRIDGEPORT, CT 06606-1305
(203) 374-3857
(203) 540-5569
Mailing address
361 WAYNE STREET, BRIDGEPORT, CT 06606
(203) 549-8746
(203) 540-5569
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA0000453
CT
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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