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NPI Code Detail

MEDICARE: FRANCISCAN FAMILY CARE CENTER, INC.

MEDICARE: FRANCISCAN FAMILY CARE CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyC87714CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083613798
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANCISCAN FAMILY CARE CENTER, INC.
Provider Business Mailing Address
First Line : 267 FINCH AVE
Second Line :
City : MERIDEN
State : CT
Zip : 06451-2715
Country : US
Telephone Number : 203-238-1441
Fax Number : 203-686-0807
Provider Business Practice Location Address
First Line : 267 FINCH AVE
Second Line :
City : MERIDEN
State : CT
Zip : 06451-2715
Country : US
Telephone Number : 203-238-1441
Fax Number : 203-686-0807
Authorized Official
Title or Position : ADMINISTRATOR
Name : SISTER SUZANNE GROSS
Credential : F.S.E.
Telephone Number : 203-238-1441
Provider Enumeration Date : 07/15/2005
Last Update Date : 01/03/2019

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