Jewish Home For The Elderly Of Fairfield County Incorporated
Clinic/Center, Rehabilitation in Bridgeport, CT. Organization (NPI-2).
NPI number1285962928
StatusActive
Last updated in NPPESAug 14, 2024
Details
- NPI
- 1285962928
- Entity type
- Organization (NPI-2)
- Legal business name
- Jewish Home For The Elderly Of Fairfield County Incorporated
- Organization subpart
- No
- Enumeration date
- Nov 18, 2009
- Certification date
- Aug 14, 2024
- Last updated
- Aug 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Other names
- Mozaic Outpatient Rehab (Doing Business As)
- Mozaic Senior Life (Doing Business As)
Practice location
4200 Park AveBridgeport, CT 06604-1049
Phone 203-365-6400
Mailing address
4200 Park AveBridgeport, CT 06604-1049
Phone 203-365-6400
Authorized official
Sheila Robinson
Ar Supervisor
2033961075
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