NPI 1730309857

Jewish Home for the Elderly of Fairfield County Incorporated

Organisation Adult Care Home Facility Bridgeport, CT

Practice location

Address: 4200 Park Ave, Bridgeport, CT 06604-1049
Phone: (203) 365-6455
Fax: (203) 396-1108

Authorised official

Name: Evangelyn Peterson
Title: Controller
Phone: (203) 396-6455

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 3032 (CT)

Other Custodial Care Facility providers in Connecticut →

Registry record

NPI: 1730309857
Entity type: Organization
NPI issued: 30 Apr 2007
Record last updated: 19 Feb 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.