Provider Demographics
NPI:1992256275
Name:CARGILL INVESTMENT GROUP INC
Entity type:Organization
Organization Name:CARGILL INVESTMENT GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-216-3385
Mailing Address - Street 1:45 WINTONBURY AVE
Mailing Address - Street 2:SUITE 321
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2470
Mailing Address - Country:US
Mailing Address - Phone:860-216-3385
Mailing Address - Fax:187-758-5884
Practice Address - Street 1:45 WINTONBURY AVE
Practice Address - Street 2:SUITE 321
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-2470
Practice Address - Country:US
Practice Address - Phone:860-216-3385
Practice Address - Fax:187-758-5884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0000844253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care