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NPI Code Detail

MEDICARE: GERIATRICS INC BEL AIR MANOR

MEDICARE: GERIATRICS INC BEL AIR MANOR
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 Facility2108CCT

General Provider Information

NPI Number : 1609861368
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERIATRICS INC BEL AIR MANOR
Provider Business Mailing Address
First Line : 256 NEW BRITAIN AVE
Second Line :
City : NEWINGTON
State : CT
Zip : 06111-4416
Country : US
Telephone Number : 203-666-4175
Fax Number : 203-666-7046
Provider Business Practice Location Address
First Line : 256 NEW BRITAIN AVE
Second Line :
City : NEWINGTON
State : CT
Zip : 06111-4416
Country : US
Telephone Number : 203-666-4175
Fax Number : 203-666-7046
Authorized Official
Title or Position : OWNER
Name : MR. MARTIN SBRYHO
Credential :
Telephone Number : 203-381-1327
Provider Enumeration Date : 09/19/2005
Last Update Date : 10/03/2007

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Directions to “GERIATRICS INC BEL AIR MANOR ” Practice Location

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