Provider Demographics
NPI:1578997938
Name:POLISH CAREGIVERS
Entity Type:Organization
Organization Name:POLISH CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELZBIETA
Authorized Official - Middle Name:
Authorized Official - Last Name:PACYNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-621-1406
Mailing Address - Street 1:125 OAKLAND RD.
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489
Mailing Address - Country:US
Mailing Address - Phone:860-621-1406
Mailing Address - Fax:
Practice Address - Street 1:125 OAKLAND RD.
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489
Practice Address - Country:US
Practice Address - Phone:860-621-1406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA.0000274251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health