Organization
JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED
Active
Other names
Mozaic Senior Life
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA ROBINSON (AR SUPERVISOR)
(203) 396-1075
Entity
Organization
Contact information
Practice address
4200 PARK AVE, BRIDGEPORT, CT 06604
(203) 396-1075
(203) 396-1108
Mailing address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 396-1075
(203) 396-1108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004197051
—
CT
Enumeration date
05/10/2007
Last updated
08/14/2024
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