Provider First Line Business Practice Location Address:
UNIVERSITY OF CONNECTICUT HEALTH CTR
Provider Second Line Business Practice Location Address:
UCONN HOMECARE PROGRAM - OFFICE C1357
Provider Business Practice Location Address City Name:
FARMINGTON
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06030-2103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-480-6501
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2012