| Faerieland Llc | |
|
470 Edgewood St Fl 2 Hartford CT 06112-1917 | |
| (860) 814-0771 | |
| Not Available |
| Full Name | Faerieland Llc |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 470 Edgewood St Fl 2, Hartford, Connecticut |
| Authorized Official Name and Position | Sapphire R Fairchild (MEMBER) |
| Authorized Official Contact | 8608140771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faerieland Llc 470 Edgewood St Fl 2 Hartford CT 06112-1917 Ph: (860) 814-0771 | Faerieland Llc 470 Edgewood St Fl 2 Hartford CT 06112-1917 Ph: (860) 814-0771 |
| NPI Number | 1376163725 |
|---|---|
| Provider Enumeration Date | 04/24/2020 |
| Last Update Date | 06/14/2020 |
| Certification Date | 06/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376163725 | NPI | - | NPPES |
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