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Organization
CITY OF STAMFORD
Active
Organization
CITY OF STAMFORD
Active
Other names
The Smith House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MARK MISLOW MHA, LNHA (EXECUTIVE DIRECTOR)
(203) 322-3428
Entity
Organization
Contact information
Practice address
88 ROCK RIMMON ROAD, STAMFORD, CT 06903
(203) 322-3428
Mailing address
88 ROCK RIMMON ROAD, STAMFORD, CT 06903
(203) 322-3428
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
716C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000007161
—
CT
Enumeration date
11/16/2006
Last updated
04/23/2013
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