# TOWN OF DEEP RIVER

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

## Provider details

- **NPI number:** 1811996416
- **Authorized official:** CARMELA MARIEN RN (ADM SUP)
- **Authorized official phone:** (860) 526-6033

## Contact information

- **Practice address:** 56 HIGH ST, DEEP RIVER, CT 06417-1932
- **Practice address phone:** (860) 526-6033
- **Practice address fax:** (860) 526-6085
- **Mailing address:** 56 HIGH ST, DEEP RIVER, CT 06417-1932
- **Mailing address phone:** (860) 526-6033
- **Mailing address fax:** (860) 526-6085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | C80177 | CT | Yes |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 07/08/2008