| NPI | 1538556584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMOS CHEA Owner 860-518-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CT 251F00000X) |
| Additional Taxonomies | 251E00000X Home Health (Licence: CT 251E00000) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |