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Organization
MASONICARE HEALTH CENTER
Active
Organization
MASONICARE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARNIA SCARLETT COTA (COTA/L)
(203) 774-4909
Entity
Organization
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 774-4909
Mailing address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060655131
CT
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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