4 Hazel Avenue Operations LLC
NPI #1427239946 in Naugatuck, Connecticut
Provider Information
- NPI Number
- 1427239946
- Entity Type
- Organization
- Organization Name
- 4 Hazel Avenue Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 27, 2007
- Last Updated
- Nov 6, 2020
Practice Location
- Address
- 4 HAZEL AVE
- City
- Naugatuck
- State
- Connecticut
- ZIP Code
- 06770-4706
- Phone
- (203) 723-1456
Authorized Official
- Name
- MICHAEL T BERG
- Title
- CORP OFFICER
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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