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Organization

JHA HEALTH CARE, INC.

Active
Other names
Goodwin-Levine Adult Day Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JUDITH ROLNICK LCSW (DIRECTOR)
(203) 789-1650
Entity
Organization

Contact information

Practice address
169 DAVENPORT AVE, NEW HAVEN, CT 06519-1319
(203) 789-1650
(203) 789-1706
Mailing address
169 DAVENPORT AVE, NEW HAVEN, CT 06519-1319
(203) 789-1650
(203) 789-1706

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004072559
PERFORMING PROVIDER NUMBER
CT
Enumeration date
09/08/2011
Last updated
09/08/2011
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