Organization Name: | CONSTELLATION HOME CARE LLC |
NPI Number: | 1417239088 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOANE WALSH (CEO) |
Mailing Address: | 240 Indian River Rd Orange |
State: | CT US |
Postal Code: | 064773649 |
Phone Number: | 2034973888 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2011 |
NPI Last Update Date: | 09/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0032 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |