Organization
LOVING IMAGE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TYISIHA NICOLE THOMPSON (MEDICAL ASSISANT)
(203) 613-4687
Entity
Organization
Contact information
Practice address
971 HANCOCK AVE, BRIDGEPORT, CT 06605-1912
(203) 212-8417
Mailing address
971 HANCOCK AVE, BRIDGEPORT, CT 06605-1912
(203) 212-8417
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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