2028 Bridgeport Avenue Operating Company Ii Llc

NPI 1003814948 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1003814948
Enumeration Date 07/13/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name KEVIN KEVIN
Position EXECUTIVE VP
Phone (203) 887-0371
Fax (203) 882-8760
Practice Location
2028 BRIDGEPORT AVE
MILFORD CT, 06460-4613, US
Phone (203) 887-0371
Fax (203) 882-8760
Business Location
2028 BRIDGEPORT AVE
MILFORD CT, 06460-4613, US
Phone (203) 887-0371
Fax (203) 882-8760
Toxanomy
Taxonomy Code 314000000X
License State Connecticut
License Number 2281
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According to our database, 2028 Bridgeport Avenue Operating Company Ii Llc NPI is 1003814948, taxonomy code is 314000000X and license number is 2281, license state is located at Connecticut. 2028 Bridgeport Avenue Operating Company Ii Llc physically located at 2028 Bridgeport Ave, Milford CT, 06460-4613. NPI Number 1033115704 has the healthcare provider type.

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1003814948 NPI number is provided on an as is basis without warranty of any kind. 1003814948 is maintained by the National Plan & Provider Enumeration System. The contents of 2028 Bridgeport Avenue Operating Company Ii Llc are for informational purposes only.