Jessica R. Page, Llc

LBN: Jessica R. Page, Llc
Jessica R. Page, Llc is an health care organization with primary practice located at 57 Plains Rd Ste 1B , Milford CT 06461-2573. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Jessica R. Page, Llc can be contacted via phone (203) 913-6883, or through Cullen, Grace via phone (203) 367-5515.

Contact Information

Primary practice address
57 Plains Rd Ste 1B Milford CT 06461-2573
Phone: (203) 913-6883
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cullen, Grace
Phone: (203) 367-5515

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1457999880
LBN Legal business name Jessica R. Page, Llc
DBA Doing business as
Authorized official Cullen, Grace
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2019
Last updated Dec 17th, 2019 - about 7 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 1457999880 NPPES
Connecticut MEDICAID 004069985

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