NPI 1124488432

Connecticut Provider of Home Care L.L.C.

Organisation PACE Provider Organization Bethel, CT

Practice location

Address: 208 Greenwood Ave Unit 10, Bethel, CT 06801-2130
Phone: (203) 792-2273
Fax: (203) 826-7887

Authorised official

Name: Daryn Clark
Title: Manager
Phone: (203) 792-2273

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Connecticut →

Registry record

NPI: 1124488432
Entity type: Organization
NPI issued: 29 Feb 2016
Record last updated: 25 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.