NPI 1326292590

Shady Oaks Assisted Living, LLC

Organisation Point of Service Bristol, CT

Practice location

Address: 344 Stevens St, Bristol, CT 06010-2769
Phone: (860) 583-1526
Fax: (860) 583-1297

Authorised official

Name: Jean Patricia Belanger
Title: Administrator
Phone: (860) 583-1526

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 002 (CT)

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Registry record

NPI: 1326292590
Entity type: Organization
NPI issued: 13 Nov 2008
Record last updated: 13 Nov 2008

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.