Organization
TOWN OF GRISWOLD
Active
Parent organization
TOWN OF GRISWOLD
Other names
Griswold Regional Visiting Nurse Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOWN OF GRISWOLD
Authorized official
DONNA JEAN LAROUX RN (ADMINISTRATOR)
(860) 376-7077
Entity
Organization
Contact information
Practice address
68 ASHLAND STREET, JEWETT CITY, CT 06351-2310
(860) 376-7077
(860) 376-7081
Mailing address
68 ASHLAND STREET, JEWETT CITY, CT 06351-2310
(860) 376-7077
(860) 376-7081
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
C8034
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004043121
—
CT
Enumeration date
11/16/2005
Last updated
07/11/2008
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