Provider Demographics
NPI:1740481944
Name:LITCHFIELD HILLS NORTHWEST ELDERLY NUTRITION PROGRAM
Entity type:Organization
Organization Name:LITCHFIELD HILLS NORTHWEST ELDERLY NUTRITION PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEKORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-482-4151
Mailing Address - Street 1:88 E ALBERT ST
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-6522
Mailing Address - Country:US
Mailing Address - Phone:860-482-4151
Mailing Address - Fax:860-496-5900
Practice Address - Street 1:88 E ALBERT ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-6522
Practice Address - Country:US
Practice Address - Phone:860-482-4151
Practice Address - Fax:860-496-5900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals