Organization
ODD FELLOWS HOME OF CONNECTICUT
Active
Parent organization
ODD FELLOWS HOME OF CONNECTICUT, INC.
Other names
FairviewFirst, Fairview
Organization subpart
Yes
Provider details
NPI number
Legal business name
ODD FELLOWS HOME OF CONNECTICUT, INC.
Authorized official
JAMES ROSENMAN (CEO)
(860) 445-7478
Entity
Organization
Contact information
Practice address
235 LESTERTOWN RD, GROTON, CT 06340-2808
(860) 445-7478
Mailing address
235 LESTERTOWN RD, GROTON, CT 06340-2808
(860) 445-7478
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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