NPI 1114526688

Stravada Wellness Care LLC

Organisation Multi-Specialty Clinic/Center Milford, CT

Practice location

Address: 203 Broad St Unit C-4, Milford, CT 06460-4750
Phone: (413) 218-9839
Mailing address: 262 Seaside Ave, Milford, CT 06460-4602

Authorised official

Name: Maria Koursaris
Title: Aprn
Phone: (413) 218-9839

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

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Registry record

NPI: 1114526688
Entity type: Organization
NPI issued: 25 Oct 2020
Record last updated: 25 Oct 2020

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.