Organization · Type 2 NPI

Masonicare

Nursing Facility/Intermediate Care Facility · Wallingford, CT

NPI number 1477939601 Active

Practice location

22 Masonic Ave
Wallingford, CT 06492-3048

Call (203) 679-6329 Map

Mailing address

22 Masonic Avenue
Wallingford, CT 06492

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X060655131 (CT)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1477939601

Masonicare's National Provider Identifier is 1477939601, issued on Aug 11, 2015. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Wallingford, CT. The record was last updated on Aug 11, 2015.