Organization
FAIRVIEW HEALTH OF GREENWICH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIYAHU MIRLIS (CONTROLLER)
(973) 796-6175
Entity
Organization
Contact information
Practice address
1188 KING STREET, GREENWICH, CT 06830
(203) 531-8300
(203) 531-0227
Mailing address
1188 KING STREET, GREENWICH, CT 06830
(203) 531-8300
(203) 531-0227
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000007609
—
CT
05
—
00475654
—
NY
Enumeration date
10/17/2006
Last updated
01/02/2019
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