Organization
ADVANCED HOME HEALTH CARE AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN KHOROSH (PRESIDENT)
(860) 236-7701
Entity
Organization
Contact information
Practice address
104 PARK RD, WEST HARTFORD, CT 06119-1750
(860) 236-7701
(860) 236-7708
Mailing address
104 PARK RD, WEST HARTFORD, CT 06119-1750
(860) 236-7701
(860) 236-7708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-7242
CMS CERTIFICATION NUMBER
CT
Enumeration date
01/08/2007
Last updated
08/20/2007
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