Healthcare Provider Details

I. General information

NPI: 1760192371
Provider Name (Legal Business Name): CAMMIE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2022
Last Update Date: 12/05/2022
Certification Date: 12/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3476 MAIN ST
STRATFORD CT
06614-4118
US

IV. Provider business mailing address

3476 MAIN ST
STRATFORD CT
06614-4118
US

V. Phone/Fax

Practice location:
  • Phone: 203-690-1963
  • Fax: 203-690-1966
Mailing address:
  • Phone: 203-690-1963
  • Fax: 203-690-1966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL JOSEPH SAVOIE
Title or Position: BUSINESS DEVELOPMENT
Credential:
Phone: 203-521-8377