Organization
STRATFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHELLE K BECKER (ACCOUNTS RECEIVABLE SUPERVISOR)
(502) 779-7512
Entity
Organization
Contact information
Practice address
6911 MAIN ST, STRATFORD, CT 06614-1360
(203) 380-0006
Mailing address
401 S 4TH ST, SUITE 1900, LOUISVILLE, KY 40202-3426
(502) 779-7512
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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