Healthcare Provider Details

I. General information

NPI: 1215325998
Provider Name (Legal Business Name): SENIOR PHILANTHROPY OF MILFORD B LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2015
Last Update Date: 01/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2028 BRIDGEPORT AVE
MILFORD CT
06460-4613
US

IV. Provider business mailing address

2028 BRIDGEPORT AVE
MILFORD CT
06460-4613
US

V. Phone/Fax

Practice location:
  • Phone: 203-877-0371
  • Fax:
Mailing address:
  • Phone: 203-877-0371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. LYNDA S HEBBELN
Title or Position: CFO
Credential:
Phone: 727-723-3000