Organization
HAVEN HEALTH CENTER OF SOUNDVIEW, 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
1 CARE LN, WEST HAVEN, CT 06516-2601
(203) 934-7955
(203) 931-4089
Mailing address
1 CARE LN, WEST HAVEN, CT 06516-2601
(203) 934-7955
(203) 931-4089
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2255
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
793
BLUE CROSS PROVIDER NUMBE
CT
Enumeration date
09/29/2005
Last updated
12/28/2007
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