Organization
PIERCE MEMORIAL BAPTIST HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY PATRICIA MORSE (PRESIDENT/CEO)
(203) 237-1206
Entity
Organization
Contact information
Practice address
44 CANTERBURY ROAD, BROOKLYN, CT 06234
(860) 774-9050
(860) 774-2028
Mailing address
44 CANTERBURY RD, BROOKLYN, CT 06234-0326
(860) 774-9050
(860) 774-2028
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
600C
CT
314000000X
Skilled Nursing Facility
Primary
600C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000090720
ICF
—
Enumeration date
07/27/2006
Last updated
08/26/2015
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