Healthcare Provider Details

I. General information

NPI: 1225121627
Provider Name (Legal Business Name): HARBOR HILL CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 10/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 CHURCH ST
MIDDLETOWN CT
06457-3624
US

IV. Provider business mailing address

111 CHURCH ST
MIDDLETOWN CT
06457-3624
US

V. Phone/Fax

Practice location:
  • Phone: 860-347-7286
  • Fax: 860-346-5589
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2097-C
License Number StateCT

VIII. Authorized Official

Name: MR. LEWIS ABRAMSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 860-347-7286