Organization
GENESIS HEALTH VENTURES OF BLOOMFIELD, INC
Active
Other names
Kimberly Hall North
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
1 EMERSON DR, WINDSOR, CT 06095-3204
(860) 688-6443
(860) 688-5230
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1076-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010769
—
CT
01
—
0707448
CIGNA-CT
—
01
—
177442
AETNA-HMO
—
01
—
769502
CONNECTICARE-HOSPICE ONLY
—
Enumeration date
06/07/2006
Last updated
06/21/2018
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