Organization
GORDONS PROFESSIONAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHANTIA HOLIZA GORDON (OWNER)
(860) 812-5292
Entity
Organization
Contact information
Practice address
490 TOLLAND ST, EAST HARTFORD, CT 06108
(860) 812-5292
Mailing address
490 TOLLAND ST, EAST HARTFORD, CT 06108-2502
(860) 812-5292
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
CT
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/09/2015
Last updated
08/22/2018
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