Healthcare Provider Details

I. General information

NPI: 1396751616
Provider Name (Legal Business Name): SVMC HOLDINGS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 03/08/2021
Certification Date: 03/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 MAIN ST
BRIDGEPORT CT
06606-4201
US

IV. Provider business mailing address

2800 MAIN ST
BRIDGEPORT CT
06606-4201
US

V. Phone/Fax

Practice location:
  • Phone: 203-576-5551
  • Fax: 203-576-5551
Mailing address:
  • Phone: 203-576-5551
  • Fax: 203-576-5551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number0057
License Number StateCT

VIII. Authorized Official

Name: ROSEANN SLYWKA
Title or Position: DIRECTOR OF PT. FINANCIAL SERVICES
Credential:
Phone: 475-210-5291