Organization
MANAGED HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL PETRENKO (OWNER)
(860) 261-2591
Entity
Organization
Contact information
Practice address
542 HOPMEADOW ST STE 115, SIMSBURY, CT 06070-5405
(860) 261-2591
Mailing address
542 HOPMEADOW ST STE 115, SIMSBURY, CT 06070-5405
(860) 261-2591
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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