Healthcare Provider Details

I. General information

NPI: 1205906914
Provider Name (Legal Business Name): THE KENT LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 MAPLE ST
KENT CT
06757-1721
US

IV. Provider business mailing address

46 MAPLE ST
KENT CT
06757-1721
US

V. Phone/Fax

Practice location:
  • Phone: 860-927-5368
  • Fax: 860-927-1594
Mailing address:
  • Phone: 860-927-5368
  • Fax: 860-927-1594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2147-C
License Number StateCT

VIII. Authorized Official

Name: MR. MARK HAMBLEY
Title or Position: CFO
Credential:
Phone: 860-678-9788