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Organization
HAVEN HEALTH CENTER OF NEW HAVEN, LLC
Active
Organization
HAVEN HEALTH CENTER OF NEW HAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA BLOOM (DIRECTOR OF AR)
(860) 344-3884
Entity
Organization
Contact information
Practice address
915 ELLA T GRASSO BLVD, NEW HAVEN, CT 06519-5516
(203) 865-5155
(203) 865-4186
Mailing address
915 ELLA T GRASSO BLVD, NEW HAVEN, CT 06519-5516
(203) 865-5155
(203) 865-4186
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2099588000
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296
BLUE CROSS BLUE SHIELD
CT
Enumeration date
09/29/2005
Last updated
12/28/2007
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