Organization
ADVANCED COMMUNITY SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA GAGLIARDO (EXECUTIVE DIRECTOR)
(860) 608-7139
Entity
Organization
Contact information
Practice address
12 CASE ST, SUITE 206, NORWICH, CT 06360-2222
(860) 608-7139
Mailing address
12 CASE ST, SUITE 206, NORWICH, CT 06360-2222
(860) 608-7139
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
000128
CT
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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