Organization
CAROLTON CHRONIC & CONVALESCENT HOSP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS KRETZMER (ADMINISTRATOR)
(203) 255-3573
Entity
Organization
Contact information
Practice address
400 MILL PLAIN RD, FAIRFIELD, CT 06824-5048
(203) 255-3573
(203) 254-1595
Mailing address
400 MILL PLAIN RD, FAIRFIELD, CT 06824-5048
(203) 255-3573
(203) 254-1595
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
606-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000006064
—
CT
Enumeration date
07/01/2005
Last updated
10/16/2019
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