Healthcare Provider Details

I. General information

NPI: 1619767415
Provider Name (Legal Business Name): YULEYCI WOODS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 CAPITAL BLVD STE 402-445
ROCKY HILL CT
06067-3914
US

IV. Provider business mailing address

175 CAPITAL BLVD STE 402-445
ROCKY HILL CT
06067-3914
US

V. Phone/Fax

Practice location:
  • Phone: 860-743-9040
  • Fax:
Mailing address:
  • Phone: 860-743-9040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberHCA.0002622
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: