Organization
W & J HOMECARE
Active
Other names
First Light Home Care New Haven and Shoreline Counties
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH M. BATTISTA (EXECUTIVE DIRECTOR)
(203) 464-4041
Entity
Organization
Contact information
Practice address
847 W MAIN ST STE 2R, BRANFORD, CT 06405-3456
(203) 464-4041
(203) 907-1000
Mailing address
847 W MAIN ST STE 2R, BRANFORD, CT 06405-3456
(203) 464-4041
(203) 907-1000
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCA0000982
HCA CT LICENSE
CT
Enumeration date
12/11/2019
Last updated
12/11/2019
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