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Organization

SAINT MARY HOME -ADULT DAY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAMELA SUE LATOVICK (VP OF REIMBURSEMENT)
(734) 343-6628
Entity
Organization

Contact information

Practice address
2021 ALBANY AVE, WEST HARTFORD, CT 06117-2755
(860) 570-8285
Mailing address
2021 ALBANY AVE, WEST HARTFORD, CT 06117-2755
(860) 570-8285

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
000000
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004SMHS439
CCCI
CT
Enumeration date
05/15/2007
Last updated
08/18/2022
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