Club Staffing

NPI 1063604601 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1063604601
Enumeration Date 08/17/2007
Last Updated 08/17/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANNA CORINNE ANNA
Position OCCUPATIONAL THERAPIST
Phone (561) 367-1175
Fax
Practice Location
1345 WHIRLWIND HILL RD
WALLINGFORD CT, 06492-2727, US
Phone (561) 367-1175
Fax
Business Location
1345 WHIRLWIND HILL RD
WALLINGFORD CT, 06492-2727, US
Phone
Fax
Toxanomy
Taxonomy Code 314000000X
License State Connecticut
License Number 003103
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According to our database, Club Staffing NPI is 1063604601, taxonomy code is 314000000X and license number is 003103, license state is located at Connecticut. Club Staffing physically located at 1345 Whirlwind Hill Rd, Wallingford CT, 06492-2727. NPI Number 1033115704 has the healthcare provider type.

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1063604601 NPI number is provided on an as is basis without warranty of any kind. 1063604601 is maintained by the National Plan & Provider Enumeration System. The contents of Club Staffing are for informational purposes only.