Organization · NPI-2

Haven Health Center Of West Hartford, LLC

Skilled Nursing Facility · West Hartford, CT

NPI number1366438236
StatusActive
Last updated in NPPESApr 20, 2008

Details

NPI
1366438236
Entity type
Organization (NPI-2)
Legal business name
Haven Health Center Of West Hartford, LLC
Organization subpart
No
Enumeration date
Sep 26, 2005
Last updated
Apr 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility2259CTYes

Practice location

2432 Albany Ave
West Hartford, CT 06117-2503

Phone 860-236-3557 · Fax 860-236-4060

Mailing address

2432 Albany Ave
West Hartford, CT 06117-2503

Phone 860-236-3557 · Fax 860-236-4060

Authorized official

Paula Bloom
Director Of Ar
8603443884

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