NPI 1891199931

/Wayfaring Ministries

Organisation Point of Service Hamden, CT

Practice location

Address: 29r Marne St Rear, Hamden, CT 06514-3628
Phone: (203) 533-9512
Fax: (203) 248-4572

Authorised official

Name: Roger Johnson
Title: Administrator
Phone: (203) 533-9512

Registered specialties (2)

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 003563 (CT)

Other Point of Service providers in Connecticut →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 003563 (CT)

Other Preferred Provider Organization providers in Connecticut →

Registry record

NPI: 1891199931
Entity type: Organization
NPI issued: 17 Oct 2014
Record last updated: 17 Oct 2014

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.