Provider Demographics
NPI:1174506299
Name:ALLIED COMMUNITY RESOURCES, INC.
Entity Type:Organization
Organization Name:ALLIED COMMUNITY RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BOHNET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-749-8833
Mailing Address - Street 1:6 CRAFTSMAN RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06088-9685
Mailing Address - Country:US
Mailing Address - Phone:860-749-8833
Mailing Address - Fax:860-627-0230
Practice Address - Street 1:6 CRAFTSMAN RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06088-9685
Practice Address - Country:US
Practice Address - Phone:860-749-8833
Practice Address - Fax:860-627-0230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4390990001Medicare ID - Type UnspecifiedDURABLE MEDICAL GOODS