Eastern Services & Camp Simon Llc

LBN: Eastern Services & Camp Simon Llc
Eastern Services & Camp Simon Llc is an health care organization with primary practice located at 82 Main St , Windsor Locks CT 06096-2325. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Eastern Services & Camp Simon Llc can be contacted via phone (860) 254-5127, or through Phimvongsa, Maly via phone (860) 254-5127.

Contact Information

Primary practice address
82 Main St Windsor Locks CT 06096-2325
Phone: (860) 254-5127
Fax: (860) 310-4235
Website:
Map and Directions
Authorized official contact:
Name: Phimvongsa, Maly
Phone: (860) 254-5127

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 001470 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 002227 Connecticut

Profile Details

NPI number 1538582739
LBN Legal business name Eastern Services & Camp Simon Llc
DBA Doing business as
Authorized official Phimvongsa, Maly
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2014
Last updated Feb 11th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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