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JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED

Adult Care Home

Bridgeport, Connecticut

Provider NPI: 1730309857

Organization Information:
Organization Name:  JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED


Practice Location:
4200 PARK AVE  BRIDGEPORT, CT 06604 US
Tel: 203-365-6455  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
CT3032

Other Provider Identifiers:

IssuerNumberStateType
EMPLOYER FEE PAID AGENCY3032CT01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS CT - Page 1



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