| NPI | 1588946917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE EDWARD MACK President 860-269-3058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |