BLUERIDGE HEALTH SERVICES INC
MARY INGUANTI


Address: 25 Marlborough St, Portland, CT 06480

BLUERIDGE HEALTH SERVICES INC (Credential# 189330) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2003. The license expiration date date is February 28, 2004. The license status is INACTIVE.

Business Overview

BLUERIDGE HEALTH SERVICES INC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026318. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2003. The expiration date is February 28, 2004. The business address is 25 Marlborough St, Portland, CT 06480. The current status is inactive.

Basic Information

Licensee Name BLUERIDGE HEALTH SERVICES INC
Business Name BLUERIDGE HEALTH SERVICES INC
Doing Business As MARY INGUANTI
Credential ID 189330
Credential Number CSP.0026318
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 25 Marlborough St
Portland
CT 06480
Business Type CORPORATION
Status INACTIVE
Effective Date 2003-03-01
Expiration Date 2004-02-28
Refresh Date 2009-01-26

Office Location

Street Address 25 MARLBOROUGH ST
City PORTLAND
State CT
Zip Code 06480

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Licensee Name Office Address Credential Effective / Expiration
Elmcrest Psychiatric Institute 25 Marlborough St, Portland, CT 06480 Controlled Substance Registration for Practitioner 1997-03-01 ~ 1998-02-28

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Competitor

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City PORTLAND
Zip Code 06480
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORTLAND

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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