Individual
GERALD MACKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 WOODCHUCK HILL RD, WEST SIMSBURY, CT 06092-2322
(860) 268-3385
(860) 268-3385
Mailing address
3 WOODCHUCK HILL RD, WEST SIMSBURY, CT 06092-2322
(860) 392-9651
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
861298601
CT
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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