NPI 1063604601

Club Staffing

Organisation Skilled Nursing Facility Wallingford, CT

Practice location

Address: 1345 Whirlwind Hill Rd, Wallingford, CT 06492-2727
Phone: (561) 367-1175

Authorised official

Name: Anna Corinne Hladky
Title: Occupational Therapist
Phone: (203) 915-3376

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 003103 (CT)

Other Skilled Nursing Facility providers in Connecticut →

Registry record

NPI: 1063604601
Entity type: Organization
NPI issued: 17 Aug 2007
Record last updated: 17 Aug 2007

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.