Organization
MASONICARE HEALTH CENTER
Active
Parent organization
MASONICARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MASONICARE
Authorized official
AUDREY WEBBER DPT (PT)
(203) 679-5959
Entity
Organization
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 679-5959
Mailing address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10225
CT
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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