Jewish Home for the Elderly of Fairfield County Incorporated
NPI #1083602346 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1083602346
- Entity Type
- Organization
- Organization Name
- Jewish Home for the Elderly of Fairfield County Incorporated
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 11, 2005
- Last Updated
- May 19, 2025
Practice Location
- Address
- 4200 PARK AVE
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06604-1049
- Phone
- (203) 365-6400
Authorized Official
- Name
- MR. ANDREW H. BANOFF
- Title
- PRESIDENT/ CEO
- Phone
- (203) 365-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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