Provider Demographics
NPI:1568682714
Name:SERVICES FOR THE ELDERLY OF FARMINGTON
Entity Type:Organization
Organization Name:SERVICES FOR THE ELDERLY OF FARMINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:860-673-1441
Mailing Address - Street 1:321 NEW BRITAIN AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06085-1224
Mailing Address - Country:US
Mailing Address - Phone:860-673-1441
Mailing Address - Fax:860-673-5917
Practice Address - Street 1:321 NEW BRITAIN AVE
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:CT
Practice Address - Zip Code:06085-1224
Practice Address - Country:US
Practice Address - Phone:860-673-1441
Practice Address - Fax:860-673-5917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals