Healthcare Provider Details

I. General information

NPI: 1740481944
Provider Name (Legal Business Name): LITCHFIELD HILLS NORTHWEST ELDERLY NUTRITION PROGRAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 07/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 E ALBERT ST
TORRINGTON CT
06790-6522
US

IV. Provider business mailing address

88 E ALBERT ST
TORRINGTON CT
06790-6522
US

V. Phone/Fax

Practice location:
  • Phone: 860-482-4151
  • Fax: 860-496-5900
Mailing address:
  • Phone: 860-482-4151
  • Fax: 860-496-5900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MR. JOEL SEKORSKI
Title or Position: DIRECTOR
Credential:
Phone: 860-482-4151