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Organization

KSY HOME LLC

Active
Other names
KSY Services
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KAREN SANDRA RICKETTS RN (PRESIDENT/OWNER)
(860) 580-7151
Entity
Organization

Contact information

Practice address
340 BROAD ST, SUITE 305, WINDSOR, CT 06095-3030
(860) 580-7151
(860) 580-7152
Mailing address
340 BROAD ST, SUITE 305, WINDSOR, CT 06095-3030
(860) 580-7151
(860) 580-7152

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251F00000X
Home Infusion Agency
251J00000X
Nursing Care Agency
E59052
CT

Other

Enumeration date
08/11/2014
Last updated
08/11/2014
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