Organization
HEBREW HOME AND HOSPITAL, INC
Active
Organization
HEBREW HOME AND HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A HOULE (EXECUTIVE VICE PRESIDENT & CFO)
(860) 523-3895
Entity
Organization
Contact information
Practice address
1 ABRAHMS BLVD, WEST HARTFORD, CT 06117-1508
(860) 523-3800
(860) 523-3949
Mailing address
1 ABRAHMS BLVD, WEST HARTFORD, CT 06117-1508
(860) 523-3800
(860) 523-3949
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000804
BC/BS
—
05
—
004215457
—
CT
01
—
047785
EVERCARE
CT
Enumeration date
06/07/2006
Last updated
06/23/2008
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