Organization
ELEVENTH HOUR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA GIESMAN ARPN (OWNER)
(203) 996-5281
Entity
Organization
Contact information
Practice address
1 BRADLEY RD, SUITE 14, WOODBRIDGE, CT 06525-2285
(203) 996-5281
(203) 878-8504
Mailing address
1 BRADLEY RD, SUITE 14, WOODBRIDGE, CT 06525-2285
(203) 996-5281
(203) 878-8504
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
002484
CT
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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