Provider Demographics
NPI:1164572269
Name:DANBURY ASSISTED LIVING
Entity Type:Organization
Organization Name:DANBURY ASSISTED LIVING
Other - Org Name:THE GARDENS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:C
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:203-748-0506
Mailing Address - Street 1:8 GLEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-4985
Mailing Address - Country:US
Mailing Address - Phone:203-748-0506
Mailing Address - Fax:203-748-0196
Practice Address - Street 1:8 GLEN HILL RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-4985
Practice Address - Country:US
Practice Address - Phone:203-748-0506
Practice Address - Fax:203-748-0196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTAL-0054310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility