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NPI 1235186131

NPI 1235186131 : HEALTH RESOURCES OF ROCKVILLE, INC : ROCKVILLE, CT

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General NPI Number Information
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    NPI Number           |    1235186131
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH RESOURCES OF ROCKVILLE, INC 
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Dates
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    Enumeration Date     |    05/27/2006
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    Last Update Date     |    06/21/2018
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Provider Practice Location Address
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    Address Line         |    22 SOUTH ST 
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    City                 |    ROCKVILLE
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    State                |    CT
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    Zip                  |    06066-4553
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    Country              |    US
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    Telephone            |    860-875-0771
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    Fax                  |    860-872-2941
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Provider Business Mailing Address
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    Address Line         |    101 E STATE ST 
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    City                 |    KENNETT SQUARE
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    State                |    PA
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    Zip                  |    19348-3109
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    Country              |    US
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    Telephone            |    610-925-4436
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    Fax                  |    610-925-4351
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Authorized Official
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    Title or Position    |    CORPORATE MANAGER
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    Name                 |     JANE  DROPESKEY 
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    Credential           |    
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    Telephone            |    610-925-4231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    2104-C
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    License Number State |    CT
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