Organization
TOWN OF DEEP RIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELA MARIEN RN (ADM SUP)
(860) 526-6033
Entity
Organization
Contact information
Practice address
56 HIGH ST, DEEP RIVER, CT 06417-1932
(860) 526-6033
(860) 526-6085
Mailing address
56 HIGH ST, DEEP RIVER, CT 06417-1932
(860) 526-6033
(860) 526-6085
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
C80177
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4043196
—
CT
Enumeration date
07/18/2005
Last updated
07/08/2008
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