Whalio Doctors

NPI 1578784658

Simonetti Realty INC

Organisation Nursing Facility/Intermediate Care Facility Derby, CT

Practice location

Address
101 Marshall Ln, Derby, CT 06418-2347
Phone
(203) 734-3393
Fax
(203) 734-2100

Authorised official

Name
Patricia Ann McCallum
Title
Office Manager
Phone
(203) 734-3393

Registered specialties

Nursing Facility/Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 102RH (CT)

Registry record

NPI
1578784658
Entity type
Organization
NPI issued
2 May 2007
Record last updated
18 Jan 2012

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.