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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

NPI # 1821537648
LBN Legal business name RESILIENT LIVING PC
Authorized official ANNE KENNY - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2017
Last updated 02/13/2017 - About 9 years ago
Identifiers
CT License # 030589
CT Medicaid 1043293780
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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