Jewish Home for the Elderly of Fairfield County Incorporated
NPI #1730309857 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1730309857
- Entity Type
- Organization
- Organization Name
- Jewish Home for the Elderly of Fairfield County Incorporated
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Apr 30, 2007
- Last Updated
- Feb 19, 2019
Practice Location
- Address
- 4200 PARK AVE
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06604-1049
- Phone
- (203) 365-6455
Authorized Official
- Name
- EVANGELYN PETERSON
- Title
- CONTROLLER
- Phone
- (203) 396-6455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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