# ODD FELLOWS HOME OF CONNECTICUT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ODD FELLOWS HOME OF CONNECTICUT, INC.
- **Other names:** FairviewFirst, Fairview
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609393909
- **Legal business name:** ODD FELLOWS HOME OF CONNECTICUT, INC.
- **Authorized official:** JAMES ROSENMAN (CEO)
- **Authorized official phone:** (860) 445-7478

## Contact information

- **Practice address:** 235 LESTERTOWN RD, GROTON, CT 06340-2808
- **Practice address phone:** (860) 445-7478
- **Mailing address:** 235 LESTERTOWN RD, GROTON, CT 06340-2808
- **Mailing address phone:** (860) 445-7478

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2017
- **Last updated:** 07/21/2022