State of Connecticut
NPI #1205951662 in Rocky Hill, Connecticut
Provider Information
- NPI Number
- 1205951662
- Entity Type
- Organization
- Organization Name
- State of Connecticut
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Sep 16, 2019
Practice Location
- Address
- 287 WEST STREET
- City
- Rocky Hill
- State
- Connecticut
- ZIP Code
- 06067-3904
- Phone
- (860) 616-3637
Authorized Official
- Name
- SHUMEI CHU
- Title
- FISCAL ADMINISTRATIVE SUPERVISOR
- Phone
- (860) 616-3637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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