Individual
DANIEL PETRENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
96 COUNTY RD, SIMSBURY, CT 06070-1245
(860) 261-2591
(860) 217-0815
Mailing address
542 HOPMEADOW ST STE 115, SIMSBURY, CT 06070-5405
(860) 261-2591
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HCA.0001577
CT
Other
Enumeration date
03/04/2021
Last updated
05/30/2023
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