Organization
DEPENDABLE HOME CARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNDIATA CHAKA KEITAZULU ETC (SALES MANAGER)
(203) 654-5187
Entity
Organization
Contact information
Practice address
472 WINTERGREEN AVE, HAMDEN, CT 06514-3240
(203) 654-5187
Mailing address
209 SHELTON AVE, NEW HAVEN, CT 06511
(203) 654-5187
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
HCA0000492
CT
302R00000X
Health Maintenance Organization
Primary
HCAOOOO492
CT
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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