Healthcare Provider Details

I. General information

NPI: 1346288131
Provider Name (Legal Business Name): DAY KIMBALL HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 11/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 POMFRET ST
PUTNAM CT
06260-1836
US

IV. Provider business mailing address

320 POMFRET ST
PUTNAM CT
06260-1836
US

V. Phone/Fax

Practice location:
  • Phone: 860-928-6541
  • Fax: 860-928-5341
Mailing address:
  • Phone: 860-928-6541
  • Fax: 860-928-5341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number0043
License Number StateCT

VIII. Authorized Official

Name: MRS. ANNEMARIE H DIAMOND
Title or Position: PRESIDENT/CEO
Credential:
Phone: 860-928-6541