Organization
AMERICARE MEDICAL SUPPLY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH S HOUSTON (MANAGING MEMBER OF LLC)
(860) 228-0606
Entity
Organization
Contact information
Practice address
7 LIBERTY DR, HEBRON, CT 06248-0342
(860) 228-0606
(860) 228-6903
Mailing address
PO BOX 342, 7 LIBERTY DRIVE, HEBRON, CT 06248-0342
(860) 228-0606
(860) 228-6903
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004190261
—
CT
01
—
12DME0667CT01
ANTHEM OF CT-DME
CT
Enumeration date
01/03/2007
Last updated
02/09/2010
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