OrganizationActive
Odd Fellows Home of Connecticut
NPI 1609393909 · Rehabilitation Clinic/Center · Groton, CT
Provider details
- NPI number
- 1609393909
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Odd Fellows Home of Connecticut, Inc.
- Organization subpart
- Yes
- Authorized official
- James Rosenman, Ceo(860) 445-7478
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
235 Lestertown Rd
Groton, CT 06340-2808
Phone: (860) 445-7478
Approximate (ZIP-level) locationGet directions
Mailing address
235 Lestertown Rd
Groton, CT 06340-2808
Other names (DBA / former)
- Doing business as
- Fairview
- Other name
- Fairviewfirst
Additional practice locations (1)
- 107 Wilcox Rd Ste 107gStonington, CT 06378-2614Phone: (860) 445-7478
Registry dates
- Enumerated
- 2017-08-28
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.