| NPI | 1528724952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM BUSUMURU KYEI Manager 860-461-2867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 251J00000X Nursing Care | |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |