NPI 1356558472
Masonicare Health Center
Practice location
- Address
- 22 Masonic Ave, Wallingford, CT 06492-3048
- Phone
- (203) 679-5900
- Mailing address
- 22 Masonic Ave P. O. Box 70, Wallingford, CT 06492-3048
Authorised official
- Name
- Jon-Paul Venoit
- Title
- President & Ceo
- Phone
- (203) 679-5000
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1356558472
- Entity type
- Organization
- NPI issued
- 17 May 2007
- 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.