341 Jordan Lane Operating Company Ii Llc

NPI 1023016961 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1023016961
Enumeration Date 07/13/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name KEVIN P KEVIN
Position EXECUTIVE VP
Phone (860) 563-0101
Fax (860) 257-6107
Practice Location
341 JORDAN LANE
WETHERSFIELD CT, 06109-1128, US
Phone (860) 563-0101
Fax (860) 257-6107
Business Location
341 JORDAN LANE
WETHERSFIELD CT, 06109-1128, US
Phone (860) 563-0101
Fax (860) 257-6107
Toxanomy
Taxonomy Code 314000000X
License State Connecticut
License Number 2283
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According to our database, 341 Jordan Lane Operating Company Ii Llc NPI is 1023016961, taxonomy code is 314000000X and license number is 2283, license state is located at Connecticut. 341 Jordan Lane Operating Company Ii Llc physically located at 341 Jordan Lane, Wethersfield CT, 06109-1128. NPI Number 1033115704 has the healthcare provider type.

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1023016961 NPI number is provided on an as is basis without warranty of any kind. 1023016961 is maintained by the National Plan & Provider Enumeration System. The contents of 341 Jordan Lane Operating Company Ii Llc are for informational purposes only.