Organization
INNOVATIVE TEAM CARE
Active
Other names
ITC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C ADU (OWNER)
(860) 834-3601
Entity
Organization
Contact information
Practice address
14 CARRIAGE CROSSING LN, MIDDLETOWN, CT 06457-5827
(860) 834-3601
Mailing address
14 CARRIAGE CROSSING LN, MIDDLETOWN, CT 06457-5827
(860) 834-3601
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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