# HAVEN HEALTH CENTER OF WINHAM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750346425
- **Authorized official:** PAULA BLOOM (DIRECTOR OF AR)
- **Authorized official phone:** (860) 344-3884

## Contact information

- **Practice address:** 595 VALLEY ST, WILLIMANTIC, CT 06226-1901
- **Practice address phone:** (860) 450-7060
- **Practice address fax:** (860) 450-7070
- **Mailing address:** 595 VALLEY ST, WILLIMANTIC, CT 06226-1901
- **Mailing address phone:** (860) 450-7060
- **Mailing address fax:** (860) 450-7070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 2274 | CT | Yes |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 12/28/2007