Jacc Healthcare Center of Norwich, LLC

NPI #1144624289 in Norwich, Connecticut

Provider Information

NPI Number
1144624289
Entity Type
Organization
Organization Name
Jacc Healthcare Center of Norwich, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
JACC HEALTHCARE GROUP, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 17, 2014
Last Updated
Mar 18, 2015

Practice Location

Address
60 CROUCH AVE
ZIP Code
06360-7329
Phone
(860) 889-2631

Authorized Official

Name
MR. JOHN B WYNNE JR.
Title
MANAGER
Phone
(860) 889-0266

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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