| NPI | 1376163725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAPPHIRE R FAIRCHILD Member 860-814-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-06-14 |