Provider Demographics
NPI:1972701191
Name:MAPLEWOOD AT DANBURY, LLC
Entity Type:Organization
Organization Name:MAPLEWOOD AT DANBURY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SKERRY-HASTINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-744-8444
Mailing Address - Street 1:22 HOSPITAL AVE
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5944
Mailing Address - Country:US
Mailing Address - Phone:203-744-8444
Mailing Address - Fax:203-791-8108
Practice Address - Street 1:22 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5944
Practice Address - Country:US
Practice Address - Phone:203-744-8444
Practice Address - Fax:203-791-8108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0114310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility