NPI 1003119140

Mehdi LLC

Organisation Physical Disabilities Residential Treatment Facility Bristol, CT

Practice location

Address: 37 Center St 511 Pine Street, Bristol, CT 06010-4917
Phone: (860) 583-3338
Fax: (860) 582-2226
Mailing address: 210 Main St # 1423, Farmington, CT 06032-9992

Authorised official

Name: Ajmal Mehdi
Title: Cna,pct, Manager
Phone: (860) 583-3338

Registered specialties (2)

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence HCA.0000440 (CT)

Other Residential Treatment Facility, Physical Disabilities providers in Connecticut →

Home Health Agency

Agencies Taxonomy 251E00000X Licence NA9992331 (CT)

Other Home Health providers in Connecticut →

Registry record

NPI: 1003119140
Entity type: Organization
NPI issued: 13 Dec 2010
Record last updated: 13 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.