Healthcare Provider Details

I. General information

NPI: 1356629695
Provider Name (Legal Business Name): AURORA SENIOR LIVING OF NORWALK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 08/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 MIDROCKS DR
NORWALK CT
06851-1626
US

IV. Provider business mailing address

8227 CLOVERLEAF DR SUITE 309
MILLERSVILLE MD
21108-1565
US

V. Phone/Fax

Practice location:
  • Phone: 410-729-8406
  • Fax: 410-987-2415
Mailing address:
  • Phone: 410-729-8406
  • Fax: 410-987-2430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. DANIELLE CRAWFORD
Title or Position: DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 410-729-8406