Provider Demographics
NPI:1396985909
Name:A & D PROFESSIONAL HOMECARE SERVICES, INC.
Entity type:Organization
Organization Name:A & D PROFESSIONAL HOMECARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:860-667-2275
Mailing Address - Street 1:205 KELSEY ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-5436
Mailing Address - Country:US
Mailing Address - Phone:860-667-2275
Mailing Address - Fax:860-667-2276
Practice Address - Street 1:205 KELSEY ST
Practice Address - Street 2:SUITE 104
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-5436
Practice Address - Country:US
Practice Address - Phone:860-667-2275
Practice Address - Fax:860-667-2276
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A & D HEALTH MANAGEMENT GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health