Spectrum Healthcare Derby, Llc

NPI 1144201344 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1144201344
Enumeration Date 11/07/2005
Last Updated 08/12/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name HOWARD WILLIAM HOWARD
Position CHIEF EXECUTIVE OFFICER
Phone (860) 871-5454
Fax (860) 871-5757
Practice Location
210 CHATFIELD ST
DERBY CT, 06418-1150, US
Phone (860) 871-5454
Fax (860) 871-5757
Business Location
210 CHATFIELD ST
DERBY CT, 06418-1150, US
Phone (860) 871-5454
Fax (860) 871-5757
Toxanomy
Taxonomy Code 314000000X
License State Connecticut
License Number 2236
Remove 1144201344 NPI Number
 

According to our database, Spectrum Healthcare Derby, Llc NPI is 1144201344, taxonomy code is 314000000X and license number is 2236, license state is located at Connecticut. Spectrum Healthcare Derby, Llc physically located at 210 Chatfield St, Derby CT, 06418-1150. NPI Number 1033115704 has the healthcare provider type.

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1144201344 NPI number is provided on an as is basis without warranty of any kind. 1144201344 is maintained by the National Plan & Provider Enumeration System. The contents of Spectrum Healthcare Derby, Llc are for informational purposes only.