Healthcare Provider Details

I. General information

NPI: 1255546305
Provider Name (Legal Business Name): APOSTLES OF THE SACRED HEART OF JESUS CLELIAN CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 BENHAM ST
HAMDEN CT
06514-2801
US

IV. Provider business mailing address

261 BENHAM ST
HAMDEN CT
06514-2801
US

V. Phone/Fax

Practice location:
  • Phone: 203-288-4151
  • Fax: 203-288-0551
Mailing address:
  • Phone: 203-288-4151
  • Fax: 203-288-0551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA SCAFARIELLO
Title or Position: DIRECTOR/ PRESIDENT
Credential: RN
Phone: 203-288-4151