Masonicare
NPI #1831340280 in Wallingford, Connecticut
Provider Information
- NPI Number
- 1831340280
- Entity Type
- Organization
- Organization Name
- Masonicare
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 3, 2008
- Last Updated
- Oct 3, 2008
Practice Location
- Address
- 22 MASONIC AVE
- City
- Wallingford
- State
- Connecticut
- ZIP Code
- 06492-3048
- Phone
- (203) 679-6273
Authorized Official
- Name
- MICHAEL ROY
- Title
- PHYSICAL THERAPY ASSISTANT
- Phone
- (203) 679-6273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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