NPI 1265425136

Masonicare Health Center

Organisation Skilled Nursing Facility Wallingford, CT

Practice location

Address: 22 Masonic Ave, Wallingford, CT 06492-3048
Phone: (203) 679-5900

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 119C (CT)

Other Skilled Nursing Facility providers in Connecticut →

Registry record

NPI: 1265425136
Entity type: Organization
NPI issued: 25 Aug 2005
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.