| Organization Name: | COMPLETE IN-HOME THERAPY LLC |
| NPI Number: | 1750635967 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEITH ALEXANDER LYONS (MEMBER) |
| Mailing Address: | 430 Mansfield Rd Ashford |
| State: | CT US |
| Postal Code: | 062781416 |
| Phone Number: | 8605734923 |
| Fax Number: | |
| NPI Enumeration Date: | 11/09/2012 |
| NPI Last Update Date: | 04/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | LLC 1084683 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |