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Organization
PARKWAY PAVILION HEALTHCARE
Active
Organization
PARKWAY PAVILION HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENYSE L. N. HICKSON (BOM)
(860) 745-8698
Entity
Organization
Contact information
Practice address
1157 ENFIELD ST, ENFIELD, CT 06082-4329
(860) 745-8698
(860) 253-9184
Mailing address
1157 ENFIELD ST, ENFIELD, CT 06082-4329
(860) 745-8698
(860) 253-9184
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2213-C
CT
Other
Enumeration date
10/18/2005
Last updated
08/22/2020
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