Organization
EASTER SEAL REHABILITATION CENTER
Active
Other names
Easter Seal
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORAINE SHEA (PRESIDENT)
(203) 754-5141
Entity
Organization
Contact information
Practice address
22 TOMPKINS ST, WATERBURY, CT 06708-1417
(203) 754-5141
(203) 757-1198
Mailing address
22 TOMPKINS ST, WATERBURY, CT 06708-1417
(203) 754-5141
(203) 757-1198
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004015061
—
CT
01
—
04154
HEARUSA
CT
01
—
04731
HEARUSA
CT
01
—
12DME0601CT01
BCBS-DME
CT
01
—
185832
PREFERRED ONE-WELLCARE
CT
01
—
296184
PREFERRED ONE-WELLCARE
CT
01
—
OR2189
HEALTH NET
CT
Enumeration date
11/07/2006
Last updated
10/11/2023
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