| Staywell/salvation Army | |
|
74 Central Ave Waterbury CT 06702-1207 | |
| (203) 756-8021 | |
| (203) 596-9038 |
| Full Name | Staywell/salvation Army |
|---|---|
| Speciality | General Practice |
| Location | 74 Central Ave, Waterbury, Connecticut |
| Authorized Official Name and Position | Donald Thompson (PRESIDENT) |
| Authorized Official Contact | 2037568021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staywell/salvation Army 80 Phoenix Ave Ste 201 Waterbury CT 06702-1418 Ph: (203) 756-8021 | Staywell/salvation Army 74 Central Ave Waterbury CT 06702-1207 Ph: (203) 756-8021 |
| NPI Number | 1669629911 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669629911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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