Spectrum Healthcare Derby, LLC
NPI #1144201344 in Derby, Connecticut
Provider Information
- NPI Number
- 1144201344
- Entity Type
- Organization
- Organization Name
- Spectrum Healthcare Derby, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 7, 2005
- Last Updated
- Aug 12, 2008
Practice Location
- Address
- 210 CHATFIELD ST
- City
- Derby
- State
- Connecticut
- ZIP Code
- 06418-1150
- Phone
- (860) 871-5454
Authorized Official
- Name
- DR. HOWARD WILLIAM DICKSTEIN, PHD
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (860) 871-5454
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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