Organization
CITY OF STAMFORD
Active
Other names
The Smith House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MARK MISLOW MHA, LNHA (EXECUTIVE DIRECTOR)
(203) 322-3428
Entity
Organization
Contact information
Practice address
88 ROCK RIMMON ROAD, STAMFORD, CT 06903
(203) 322-3428
Mailing address
88 ROCK RIMMON ROAD, STAMFORD, CT 06903
(203) 322-3428
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
716C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000007161
—
CT
Enumeration date
11/16/2006
Last updated
04/23/2013
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