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Organization

CLUB STAFFING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNA CORINNE HLADKY (OCCUPATIONAL THERAPIST)
(203) 915-3376
Entity
Organization

Contact information

Practice address
1345 WHIRLWIND HILL RD, WALLINGFORD, CT 06492-2727
(561) 367-1175
Mailing address
1345 WHIRLWIND HILL RD, WALLINGFORD, CT 06492-2727

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
003103
CT

Other

Enumeration date
08/17/2007
Last updated
08/17/2007
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