Organization
PROFESSIONAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATHENA JENKINS LCSW/RN (PRESIDENT)
(203) 494-3916
Entity
Organization
Contact information
Practice address
713 GEORGE ST STE 2, NEW HAVEN, CT 06511-5207
(203) 494-3916
Mailing address
6 LAKE CT, HAMDEN, CT 06517-2307
(203) 494-3916
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/30/2008
Last updated
02/02/2009
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