Organization · NPI-2
Genesis Health Ventures Of Bloomfield, INC
Skilled Nursing Facility · Windsor, CT
NPI number1104862507
StatusActive
Last updated in NPPESJun 21, 2018
Details
- NPI
- 1104862507
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesis Health Ventures Of Bloomfield, INC
- Organization subpart
- No
- Enumeration date
- Jun 22, 2006
- Last updated
- Jun 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 1075-C | CT | Yes |
Other names
- Kimberly Hall South (Doing Business As)
Practice location
1 Emerson DrWindsor, CT 06095-3204
Phone 860-688-6443 · Fax 860-688-1259
Mailing address
101 E State StKennett Square, PA 19348-3109
Phone 610-925-4436 · Fax 610-925-4351
Authorized official
Jane Dropeskey
Corporate Manager
6109254231
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