Organization
PANDA HOME CARE AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J. CASSANDRA JR. (VICE PRESIDENT)
(860) 633-5907
Entity
Organization
Contact information
Practice address
3011 MAIN STREET, GLASTONBURY, CT 06033-1029
(860) 633-5907
(860) 633-3904
Mailing address
3011 MAIN STREET, GLASTONBURY, CT 06033-1029
(860) 633-5907
(860) 633-3904
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HCA.0000123
CT
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4093572
CT. HOME CARE PROGRAM
CT
01
—
HCA.0000123
DEPART OF CONSUMER PROTEC
CT
Enumeration date
04/23/2007
Last updated
08/23/2023
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