| Heritage Direct Care, Llc | |
|
61 Bloomfield Ave Windsor CT 06095-2809 | |
| (860) 687-5722 | |
| Not Available |
| Full Name | Heritage Direct Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 61 Bloomfield Ave, Windsor, Connecticut |
| Authorized Official Name and Position | Jane Inman Walker (MEMBER) |
| Authorized Official Contact | 8608745722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Direct Care, Llc 61 Bloomfield Ave Windsor CT 06095-2809 Ph: (860) 687-5722 | Heritage Direct Care, Llc 61 Bloomfield Ave Windsor CT 06095-2809 Ph: (860) 687-5722 |
| NPI Number | 1174996706 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174996706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 028638 (Connecticut) | Primary |
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