Healthcare Provider Details

I. General information

NPI: 1952165599
Provider Name (Legal Business Name): NWCT ADULT DAY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2024
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 BANTAM RD
LITCHFIELD CT
06759-3200
US

IV. Provider business mailing address

409 BANTAM RD
LITCHFIELD CT
06759-3200
US

V. Phone/Fax

Practice location:
  • Phone: 860-567-2402
  • Fax: 860-567-2405
Mailing address:
  • Phone: 860-567-2402
  • Fax: 860-567-2405

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: AMY FITZPATRICK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 860-567-2402