Organization
GILDED ROLL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWANDA BRAYBOY REGISTER NURSE (OWNER)
(203) 650-3687
Entity
Organization
Contact information
Practice address
114 MONROE ST, BRIDGEPORT, CT 06605-2752
(203) 650-3687
Mailing address
114 MONROE ST, BRIDGEPORT, CT 06605-2752
(203) 650-3687
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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