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Organization

BOYLAN HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT EMMETT BOYLAN RRT (DIRECTOR)
(860) 963-1222
Entity
Organization

Contact information

Practice address
554 LIBERTY HWY, 8 COLONIAL PLAZA, PUTNAM, CT 06260-2728
(860) 963-1222
(860) 963-1107
Mailing address
554 LIBERTY HWY, 8 COLONIAL PLAZA, PUTNAM, CT 06260-2728
(860) 963-1222
(860) 963-1107

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
000784
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12DME0795CT01
BCBSCT
CT
01
205866
MULTIPLAN PROVIDER
CT
Enumeration date
08/18/2006
Last updated
08/22/2020
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