NPI 1477939601
Masonicare
Practice location
- Address
- 22 Masonic Ave, Wallingford, CT 06492-3048
- Phone
- (203) 679-6329
- Mailing address
- 22 Masonic Avenue, Wallingford, CT 06492
Authorised official
- Name
- Susanna Landino
- Title
- Registered Occupational Therapist
- Phone
- (203) 679-6329
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1477939601
- Entity type
- Organization
- NPI issued
- 11 Aug 2015
- Record last updated
- 11 Aug 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.