Whalio Doctors

NPI 1235500497

Masonicare Health Center

Organisation Skilled Nursing Facility Wallingford, CT

Practice location

Address
22 Masonic Ave, Wallingford, CT 06492-3048
Phone
(203) 679-6273

Authorised official

Name
Jon-Paul Venoit
Title
President & Ceo
Phone
(203) 679-5000

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 167822046 (CT)

Registry record

NPI
1235500497
Entity type
Organization
NPI issued
14 Oct 2015
Record last updated
5 Nov 2019

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.