Organization Name: | THE VILLAGE AT MARINERS POINT |
NPI Number: | 1073805453 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES MICHEAL KING (EXECUTIVE DIRECTOR) |
Mailing Address: | 111 S Shore Dr East Haven |
State: | CT US |
Postal Code: | 065124661 |
Phone Number: | 2034670067 |
Fax Number: | 2034673748 |
NPI Enumeration Date: | 05/04/2011 |
NPI Last Update Date: | 05/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 0136 |
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. |