Organization
AGE WELL ALLIANCE
Active
Other names
Age Well Alliance, AgeWell Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE A KIST (OWNER)
(251) 223-2212
Entity
Organization
Contact information
Practice address
82 GRISWOLD DR, WEST HARTFORD, CT 06119-1146
(251) 223-2212
Mailing address
82 GRISWOLD DR, WEST HARTFORD, CT 06119-1146
(251) 223-2212
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/27/2025
Last updated
04/10/2025
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