| NPI | 1295384725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON HISLOP Owner 860-967-2758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2019-09-07 |