Organization
WCFA INC. DBA SYNERGY HOMECARE OF EAST HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON A WALL (PRESIDENT)
(203) 691-5071
Entity
Organization
Contact information
Practice address
152 SALTONSTALL PKWY UNIT B, EAST HAVEN, CT 06512-2329
(203) 691-5071
(203) 594-8587
Mailing address
152 SALTONSTALL PKWY UNIT B, EAST HAVEN, CT 06512-2329
(203) 691-5071
(203) 594-8587
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCA.0001043
HOMEMAKER COMPANION REGISTRATION
CT
Enumeration date
04/03/2019
Last updated
04/03/2019
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