Jewish Home For Aged
Skilled Nursing Facility in New Haven, CT. Organization (NPI-2).
NPI number1154318335
StatusActive
Last updated in NPPESAug 14, 2008
Details
- NPI
- 1154318335
- Entity type
- Organization (NPI-2)
- Legal business name
- Jewish Home For Aged
- Organization subpart
- No
- Enumeration date
- Oct 3, 2005
- Last updated
- Aug 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 32-C | CT | Yes |
Practice location
169 Davenport AveNew Haven, CT 06519
Phone 203-789-1650 · Fax 203-787-0071
Mailing address
169 Davenport AveNew Haven, CT 06519
Phone 203-789-1650 · Fax 203-787-0071
Authorized official
Suzanne Marie Bousquet
Cfo
7037891650
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