Masonicare
NPI #1396189460 in Avon, Connecticut
Provider Information
- NPI Number
- 1396189460
- Entity Type
- Organization
- Organization Name
- Masonicare
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 19, 2013
- Last Updated
- Apr 19, 2013
Practice Location
- Address
- 15 ARLINGTON DR
- City
- Avon
- State
- Connecticut
- ZIP Code
- 06001
- Phone
- (203) 535-3129
Authorized Official
- Name
- JESSICA KELLY
- Title
- RD
- Phone
- (413) 313-1468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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