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Organization

GENM SENIOR CARE CONSULTING GROUP LLC

Active
Parent organization
MASONICARE CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
MASONICARE CORPORATION
Authorized official
STEVEN D BEAULIEU (CFO VP, FINANCE)
(203) 678-7857
Entity
Organization

Contact information

Practice address
67 MASONIC AVE, WALLINGFORD, CT 06492-3095
(203) 678-7857
Mailing address
PO BOX 70, WALLINGFORD, CT 06492-7001
(203) 678-7857

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
332S00000X
Hearing Aid Equipment

Other

Enumeration date
05/17/2023
Last updated
10/18/2023
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