Healthcare Provider Details

I. General information

NPI: 1750168340
Provider Name (Legal Business Name): REMIGES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 WESSKUM WOOD RD
RIVERSIDE CT
06878-1918
US

IV. Provider business mailing address

56 WESSKUM WOOD RD
RIVERSIDE CT
06878-1918
US

V. Phone/Fax

Practice location:
  • Phone: 203-536-6613
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SARAH KENCEL
Title or Position: OWNER
Credential:
Phone: 203-536-6613