Organization Name: | ROBIN'S DEN LLC |
NPI Number: | 1235349754 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENIS J TWIGG (PRES) |
Mailing Address: | 245 Boston Post Rd Old Saybrook |
State: | CT US |
Postal Code: | 064751502 |
Phone Number: | 8603994469 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 08/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |