Organization
HAVEN HEALTH CENTER OF WATERFORD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA BLOOM (DIRECTOR OF AR)
(860) 344-3884
Entity
Organization
Contact information
Practice address
171 ROPE FERRY RD, WATERFORD, CT 06385-2600
(860) 443-8357
(860) 447-8351
Mailing address
171 ROPE FERRY RD, WATERFORD, CT 06385-2600
(860) 443-8357
(860) 447-8351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000020446
—
CT
Enumeration date
04/12/2006
Last updated
12/28/2007
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