Organization
ALLY'S EARTH TOUCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALISON FAND (OWNER)
(203) 824-8293
Entity
Organization
Contact information
Practice address
84 BROAD ST, MILFORD, CT 06460-3383
(203) 824-8293
Mailing address
247 GOVERNORS HILL RD, OXFORD, CT 06478-1334
(203) 824-8293
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
003322
CT
Other
Enumeration date
09/24/2016
Last updated
09/24/2016
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