DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WOLCOTT VIEW MANOR, INC.

MEDICARE: WOLCOTT VIEW MANOR, 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
1314000000XSkilled Nursing Facility972-CCT

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 : 1417942491
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOLCOTT VIEW MANOR, INC.
Provider Business Mailing Address
First Line : 50 BEACH RD
Second Line :
City : WOLCOTT
State : CT
Zip : 06716-1902
Country : US
Telephone Number : 203-879-8066
Fax Number : 203-879-8072
Provider Business Practice Location Address
First Line : 50 BEACH RD
Second Line :
City : WOLCOTT
State : CT
Zip : 06716-1902
Country : US
Telephone Number : 203-879-8066
Fax Number : 203-879-8072
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : MR. JAMES E. CLEARY, JR.
Credential :
Telephone Number : 203-879-8066
Provider Enumeration Date : 09/15/2005
Last Update Date : 11/12/2007

Similar Medicare Providers

1326394610 — JEREMY GAGNON
Practice Location Address:
50 BEACH RD
WOLCOTT, CT
06716-1902
Practice Phone: 203-879-8066
Practice Fax: 203-879-8484
1245586585 — DEBORAH MCGINN
Practice Location Address:
50 BEACH RD
WOLCOTT, CT
06716-1902
Practice Phone: 203-879-8066
Practice Fax:
1639425804 — MISS ERICA MARIE DIPIETRO
Practice Location Address:
50 BEACH RD
WOLCOTT, CT
06716-1902
Practice Phone: 203-879-8066
Practice Fax: 203-879-8484
1790031730 — DIANE M PHIPPS OT ASSISTANT
Practice Location Address:
50 BEACH RD
WOLCOTT, CT
06716-1902
Practice Phone: 860-879-8066
Practice Fax:
1659629921 — MARKEL PASCUAL PTA
Practice Location Address:
50 BEACH RD
WOLCOTT, CT
06716-1902
Practice Phone: 203-879-8066
Practice Fax:
1053652248 — MELLISSA MARY NOONAN OTR
Practice Location Address:
50 BEACH RD
WOLCOTT, CT
06716-1902
Practice Phone: 203-879-8066
Practice Fax:

Directions to “WOLCOTT VIEW MANOR, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.