Lutheran Home of Southbury INC
NPI #1376543751 in Southbury, Connecticut
Provider Information
- NPI Number
- 1376543751
- Entity Type
- Organization
- Organization Name
- Lutheran Home of Southbury INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 27, 2005
- Last Updated
- Nov 27, 2007
Practice Location
- Address
- 990 MAIN ST N
- City
- Southbury
- State
- Connecticut
- ZIP Code
- 06488-1267
- Phone
- (203) 264-9135
Authorized Official
- Name
- MR. WESLEY BARD
- Title
- CEO ADMINISTRATOR
- Phone
- (203) 264-9135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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