1023198470

Everything you always wanted to know about FAIRVIEW HEALTH OF GREENWICH LLC DOLCE B TIMOTHY but were afraid to ask.

FAIRVIEW HEALTH OF GREENWICH LLC DOLCE B TIMOTHY

You can also download the this 1023198470 data report as csv | excel | json | xml
Organization Name Authorized Official Last Name Authorized Official Middle Name Authorized Official First Name
FAIRVIEW HEALTH OF GREENWICH LLC DOLCE B TIMOTHY
Gender:
none
Enumeration date:
2006-10-17
Last update date:
2012-10-24
Current as of:
2007-08-28
Is sole proprietor?:
Not Answered
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state active
075069 Medicare ID-Type Undpecified none none 1
00475654 Medicaid none NY 1
000007609 Medicaid none CT 1

Taxonomies

Taxonomy State License Number Primary?
311Z00000X Custodial Care Facility none none

Phone Numbers

Type Number
Mailing Address Telephone Number 2035318300
Practice Location Address Telephone Number 2035318300
Authorized Official Telephone Number 8606686111
Mailing Address Fax Number 2035310227
Practice Location Address Fax Number 2035310227

Addresses

Type Address City State Postal Country
Mailing Address 1188 KING STREET GREENWICH CT 6830 CT
Practice Location Address 1188 KING STREET GREENWICH CT 6830 CT

Other NPI Records that share a phone number

NPI Name Address State City
1134382187 CONNECTICUT HEALTH OF SOUTH WI
Organization
1060 MAIN ST CT SOUTH WINDSOR
1528135605 DEFLORIO, HEIDI
Individual
1 CANAL RD CT SUFFIELD
1790779627 SUFFIELD MANOR
Organization
1 CANAL RD CT SUFFIELD

Other NPI Records that share an identifier

NPI Name Address State City Identifier types that matches
1578503785 BROCKWELL, RUSSELL
Individual
6101 PINE RIDGE RD FL NAPLES Identifier: 000007609 (Medicaid)