Provider Demographics
NPI:1376954016
Name:HARTFORD KNIGHTS CORP
Entity Type:Organization
Organization Name:HARTFORD KNIGHTS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-756-5527
Mailing Address - Street 1:641 FARMINGTON AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-2949
Mailing Address - Country:US
Mailing Address - Phone:860-756-5527
Mailing Address - Fax:860-756-5529
Practice Address - Street 1:641 FARMINGTON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-2949
Practice Address - Country:US
Practice Address - Phone:860-756-5527
Practice Address - Fax:860-756-5529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health