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Organization
JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED
Active
Organization
JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED
Active
Other names
Mozaic Senior Life
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW H. BANOFF (PRESIDENT/ CEO)
(203) 365-6400
Entity
Organization
Contact information
Practice address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 365-6400
(203) 396-1108
Mailing address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 365-6400
(203) 396-1108
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
923-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009233
—
CT
05
—
000091116
—
CT
05
—
004197051
—
CT
Enumeration date
10/11/2005
Last updated
05/19/2025
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