NPI 1902332950
93 W Main Operating LLC
Practice location
- Address
- 93 W Town St, Norwich, CT 06360-2262
- Phone
- (860) 889-2614
- Fax
- (860) 822-4141
Authorised official
- Name
- Shannon Rubin
- Title
- Sole Mbr
- Phone
- (860) 889-2614
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1902332950
- Entity type
- Organization
- NPI issued
- 11 May 2017
- Record last updated
- 11 May 2017
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.