National Provider Identifier Database

MASONICARE
Rehabilitation Hospital

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.


Contact Information

MASONICARE
22 MASONIC AVE
REHAB DEPARTMENT
WALLINGFORD, CT06492-3048
Phone: 203-679-5900
Fax: 203-679-6142
Website:
Specialty Taxonomy Code
* Rehabilitation Hospital 283X00000X

* Indicates primary specialty

NPI Profile & details for MASONICARE

NPI Number 1104131283
Legal business name
LBN
MASONICARE
Authorized official SUSAN FAGAN - (REHAB DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/12/2010
Last updated 08/12/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 003288

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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