Wolverine Corporation
Home Health in Avon, CT. Organization (NPI-2).
NPI number1073985099
StatusActive
Last updated in NPPESSep 2, 2022
Details
- NPI
- 1073985099
- Entity type
- Organization (NPI-2)
- Legal business name
- Wolverine Corporation
- Organization subpart
- No
- Enumeration date
- Oct 29, 2015
- Certification date
- Sep 2, 2022
- Last updated
- Sep 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | HCA.0000795 | CT | Yes |
| 251E00000X | Home Health | – | – |
Other names
- Charles Homecare (Doing Business As)
Practice location
20 Tower Ln Ste 500Avon, CT 06001-4263
Phone 914-419-9610 · Fax 845-226-1305
Mailing address
20 Tower Ln Ste 500Avon, CT 06001-4263
Phone 914-419-9610 · Fax 845-226-1305
Other practice locations
1 Darling Dr Ste 1
Avon, CT 06001-4244
Avon, CT 06001-4244
Phone 860-217-0693 · Fax 860-217-0951
Authorized official
John Shang Lew
President
9144199610
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