Provider Demographics
NPI:1710478862
Name:PERFECT HELP HOME CARE, LLC
Entity Type:Organization
Organization Name:PERFECT HELP HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MATILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDZIEGBE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:860-967-2388
Mailing Address - Street 1:90 MERCER AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06118-1516
Mailing Address - Country:US
Mailing Address - Phone:860-967-2388
Mailing Address - Fax:860-904-9553
Practice Address - Street 1:806 MAIN ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-6002
Practice Address - Country:US
Practice Address - Phone:860-967-2388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-24
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health