Organization
STATE OF CONNECTICUT
Active
Other names
Department of Veterans Affairs, Department of Veterans' Affairs, Veterans Home
Organization subpart
No
Provider details
NPI number
Authorized official
SHUMEI CHU (FISCAL ADMINISTRATIVE SUPERVISOR)
(860) 616-3637
Entity
Organization
Contact information
Practice address
287 WEST STREET, ROCKY HILL, CT 06067-3904
(860) 616-3637
(860) 616-3539
Mailing address
287 WEST STREET, ROCKY HILL, CT 06067-3904
(860) 616-3637
(860) 616-3539
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004111639
—
CT
Enumeration date
03/21/2007
Last updated
09/16/2019
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