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General NPI Number Information
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NPI Number | 1609869809
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Entity Type | Organization
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Legal Business Name | NORWALK HEALTH CARE, INC.
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 04/09/2010
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Provider Practice Location Address
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Address Line | 34 MIDROCKS DR
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City | NORWALK
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State | CT
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Zip | 06851-1626
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Country | US
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Telephone | 203-847-9686
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Fax | 203-840-1584
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Provider Business Mailing Address
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Address Line | 34 MIDROCKS DR
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City | NORWALK
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State | CT
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Zip | 06851-1626
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Country | US
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Telephone | 203-847-9686
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Fax | 203-840-1584
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ARTHUR E SANTILLI
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Credential | M.S., MPH, CHE, LNHA
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Telephone | 203-847-9686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 2116-C
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 2116-C
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License Number State | CT
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