NPI 1144624289

Jacc Healthcare Center of Norwich, LLC

Organisation Skilled Nursing Facility Norwich, CT

Practice location

Address: 60 Crouch Ave, Norwich, CT 06360-7329
Phone: (860) 889-2631
Fax: (860) 889-0266

Authorised official

Name: John B Wynne
Title: Manager
Phone: (860) 889-0266

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1144624289
Entity type: Organization
NPI issued: 17 Oct 2014
Record last updated: 18 Mar 2015

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.