| NPI | 1629968037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMOS JACK Director 860-305-6723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-09-13 |