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General NPI Number Information
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NPI Number | 1710063367
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Entity Type | Organization
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Legal Business Name | DAY KIMBALL HEALTHCARE, INC.
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 320 POMFRET ST
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City | PUTNAM
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State | CT
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Zip | 06260-1836
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Country | US
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Telephone | 860-928-0422
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Fax | 860-928-4545
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Provider Business Mailing Address
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Address Line | 320 POMFRET ST
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City | PUTNAM
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State | CT
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Zip | 06260-1836
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Country | US
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Telephone | 860-928-0422
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Fax | 860-928-4545
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Authorized Official
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Title or Position | EX. DIR DKH HOMECARE/HOSPICE
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Name | MRS. RENEE M SMITH
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Credential | RN, MSN
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Telephone | 860-928-0422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | C9714710
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License Number State | CT
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