Resilient Living Pc

LBN: Resilient Living Pc
Resilient Living Pc is an health care organization with primary practice located at 1261 S Main St , Plantsville CT 06479-1750. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Resilient Living Pc can be contacted via phone (860) 628-9000, or through Kenny, Anne M via phone (860) 628-9000.

Contact Information

Primary practice address
1261 S Main St Plantsville CT 06479-1750
Fax:
Website:
Authorized official contact:
Name: Kenny, Anne M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 030589 Connecticut
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 030589 Connecticut

Profile Details

NPI number 1821537648
LBN Legal business name Resilient Living Pc
DBA Doing business as
Authorized official Kenny, Anne M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2017
Last updated Feb 13th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821537648 NPPES
Connecticut MEDICAID 1043293780

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