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Ms. JEQUEENA DENESE FOREMAN -- CNA

Individual Provider (NPI-1) Active

Adult Companion

Provider Information

NPI Number
1992120679
Provider Type
Individual Provider (NPI-1)
Credentials
CNA
Status
Active

Contact & Location

Address
17 VERNON ST # 200, NEW HAVEN, CT, 065191342
Phone
(203) 901-8670
Fax
(203) 891-7854

Specialties & Taxonomies

Chore Provider License: CT #372500000x
Adult Companion Primary License: CT #376k00000x
Adult Companion License: CT #372600000x
Technician, Attendant Care Provider License: CT #3747a0650x
Technician, Personal Care Attendant License: CT #3747p1801x
Home Health Aide License: CT #374u00000x
Homemaker License: CT #376j00000x
Nurse's Aide License: CT #376K00000X

All Addresses

MAILING

17 VERNON ST. #200

NEW HAVEN, CT, 06519

(203) 901-8670

LOCATION

17 VERNON ST # 200

NEW HAVEN, CT, 065191342

(203) 901-8670