Healthcare Provider Details

I. General information

NPI: 1629290150
Provider Name (Legal Business Name): CITY OF TORRINGTON SULLIVAN SENIOR CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 EAST ALBERT ST
TORRINGTON CT
06790
US

IV. Provider business mailing address

88 EAST ALBERT ST
TORRINGTON CT
06790
US

V. Phone/Fax

Practice location:
  • Phone: 860-489-2211
  • Fax: 860-489-2529
Mailing address:
  • Phone: 860-489-2211
  • Fax: 860-489-2529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: NANCY S GYURKO
Title or Position: DIRECTOR
Credential:
Phone: 860-489-2211