Odd Fellows Home of Connecticut
NPI #1083665988 in Groton, Connecticut
Provider Information
- NPI Number
- 1083665988
- Entity Type
- Organization
- Organization Name
- Odd Fellows Home of Connecticut
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 15, 2006
- Last Updated
- Jul 21, 2016
Practice Location
- Address
- 235 LESTERTOWN ROAD
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340
- Phone
- (860) 445-7478
Authorized Official
- Name
- JAMES A ROSENMAN
- Title
- ADMINISTRATOR
- Phone
- (860) 445-7478
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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