Organization
SOUTHWESTERN CONNECTICUT AGENCY ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA L DELORENZO (EXECUTIVE DIRECTOR)
(203) 333-9288
Entity
Organization
Contact information
Practice address
10 MIDDLE ST, BRIDGEPORT, CT 06604-4257
(203) 333-9288
(203) 696-3866
Mailing address
10 MIDDLE ST, BRIDGEPORT, CT 06604-4257
(203) 333-9288
(203) 696-3866
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4158946
CHCPE PROVIDER NUMBER
CT
Enumeration date
02/23/2007
Last updated
08/22/2020
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