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Contact Information

RESILIENT LIVING PC
1261 S MAIN ST
PLANTSVILLE, CT06479-1750
 Phone: 860-628-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RESILIENT LIVING PC · (Female)

NPI # 1821537648
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2017
Last updated 02/13/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 030589
  • CT Medicaid 1043293780
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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