| Coney Island Homecare Connecticut | |
|
5 W Mendenhall St Bozeman MT 59715-3565 | |
| (866) 926-0035 | |
| (585) 502-1157 |
| Full Name | Coney Island Homecare Connecticut |
|---|---|
| Speciality | Home Health |
| Location | 5 W Mendenhall St, Bozeman, Montana |
| Authorized Official Name and Position | Sharon A Peart (CEO/PRESIDENT) |
| Authorized Official Contact | 8669260035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coney Island Homecare Connecticut 3296 Highpoint Ct Snellville GA 30078-7401 Ph: (719) 517-6905 | Coney Island Homecare Connecticut 5 W Mendenhall St Bozeman MT 59715-3565 Ph: (866) 926-0035 |
| NPI Number | 1760246219 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/17/2024 |
| Certification Date | 02/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760246219 | NPI | - | NPPES |
| 04530961 | Medicaid | NY |
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