# JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mozaic Outpatient Rehab, Mozaic Senior Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285962928
- **Authorized official:** SHEILA ROBINSON (AR SUPERVISOR)
- **Authorized official phone:** (203) 396-1075

## Contact information

- **Practice address:** 4200 PARK AVE, BRIDGEPORT, CT 06604-1049
- **Practice address phone:** (203) 365-6400
- **Mailing address:** 4200 PARK AVE, BRIDGEPORT, CT 06604-1049
- **Mailing address phone:** (203) 365-6400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2009
- **Last updated:** 08/14/2024
