Organization
BISHOP WICKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE BOUDREAU-SCOTT MHA (ADMINISTRATOR)
(203) 925-2664
Entity
Organization
Contact information
Practice address
584 LONG HILL AVE, SHELTON, CT 06484-4810
(203) 929-5321
(203) 944-8297
Mailing address
584 LONG HILL AVE, SHELTON, CT 06484-4810
(203) 929-5321
(203) 944-8297
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
812-C
CT
Other
Enumeration date
10/25/2005
Last updated
08/22/2020
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