LEDGE LIGHT HEALTH DISTRICT NPI 1902110323

NPI Information

LEDGE LIGHT HEALTH DISTRICT is a public health or welfare in Groton, CT. LEDGE LIGHT HEALTH DISTRICT NPI is 1902110323. The provider is registered as an organization entity type.

The provider's business location address is:

943 NORTH RD
GROTON, CT
ZIP 06340-272
Phone: (860) 448-4882
Fax: (860) 448-4885

The provider's authorized official is Baker Salsbury .
The authorized official title is Director Of Health and has the following contact phone number (860) 448-4882.

The CLIA number assigned to this NPI record is 07D2075248 - other - local health dept with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2010 and was last updated on 7/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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