Provider Demographics
NPI:1154900215
Name:ALL CARE OF EAST HARTFORD, LLC
Entity type:Organization
Organization Name:ALL CARE OF EAST HARTFORD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARINAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-266-4300
Mailing Address - Street 1:PO BOX 661
Mailing Address - Street 2:
Mailing Address - City:MOODUS
Mailing Address - State:CT
Mailing Address - Zip Code:06469-0661
Mailing Address - Country:US
Mailing Address - Phone:860-266-4300
Mailing Address - Fax:860-263-8947
Practice Address - Street 1:144 MAIN ST STE F
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06118-3239
Practice Address - Country:US
Practice Address - Phone:860-266-4300
Practice Address - Fax:860-263-8947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care