Organization
BISHOP WICKE HEALTH AND REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LAWLOR (PRESIDENT)
12039448285
Entity
Organization
Contact information
Practice address
580 LONG HILL AVE, SHELTON, CT 06484-4803
(120) 394-4828
Mailing address
580 LONG HILL AVE, SHELTON, CT 06484-4803
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
812C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00008128
—
CT
Enumeration date
02/28/2007
Last updated
07/16/2015
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