Organization Name: | CRP/BWN LITCHFIELD OPERATOR, LLC |
NPI Number: | 1043334246 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH SEGARNICK (GENERAL COUNSEL) |
Mailing Address: | 19 Constitution Way Litchfield |
State: | CT US |
Postal Code: | 067593428 |
Phone Number: | 8605679500 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 09/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 0118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |