Organization
DEPARTMENT OF VETERANS AFFAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA CASAS (RN)
(203) 932-5711
Entity
Organization
Contact information
Practice address
202 MAIN ST, UNIT 3D, WEST HAVEN, CT 06516-4558
(203) 745-5175
Mailing address
202 MAIN ST APT 3D, WEST HAVEN, CT 06516-4559
(203) 745-5175
Taxonomy
Speciality
Code
Description
License number
State
2865X1600X
Operational (Transportable) Military General Acute Care Hospital
Primary
070507
CT
Other
Enumeration date
07/07/2007
Last updated
08/22/2020
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