Organization
THE JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INC
Active
Other names
Mozaic Adult Day Program, Mozaic Adult Family Living
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELYN PETERSON (CONTROLLER)
(203) 396-6455
Entity
Organization
Contact information
Practice address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 365-6455
(203) 396-1108
Mailing address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 365-6455
(203) 396-1108
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008044725
CHCPE
CT
Enumeration date
05/07/2007
Last updated
08/14/2024
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