Organization
SAFEWAY FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE ALLEN (GENERAL PARTNER)
(203) 521-2874
Entity
Organization
Contact information
Practice address
3101 MAIN STREET LL, BRIDGEPORT, CT 06606
(203) 727-4629
(203) 690-1097
Mailing address
3101 MAIN STREET LL, BRIDGEPORT, CT 06606
(203) 727-4629
(203) 690-1097
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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