| Jennifer Badeau, Llc | |
|
2301 Silas Deane Hwy Unit 1 Rocky Hill CT 06067-2330 | |
| (860) 810-5915 | |
| Not Available |
| Full Name | Jennifer Badeau, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2301 Silas Deane Hwy Unit 1, Rocky Hill, Connecticut |
| Authorized Official Name and Position | Jennifer Badeau (OWNER) |
| Authorized Official Contact | 8608105915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Badeau, Llc 26 Clyde Rd Manchester CT 06042-3332 Ph: () - | Jennifer Badeau, Llc 2301 Silas Deane Hwy Unit 1 Rocky Hill CT 06067-2330 Ph: (860) 810-5915 |
| NPI Number | 1710415658 |
|---|---|
| Provider Enumeration Date | 05/23/2017 |
| Last Update Date | 05/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710415658 | NPI | - | NPPES |
| 008016362 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001364 (* (Not Available)) | Primary |
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