Provider Demographics
NPI:1194985457
Name:BOWERS HEALTH CARE FACILITIES INC
Entity type:Organization
Organization Name:BOWERS HEALTH CARE FACILITIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:COZEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-829-4520
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:EAST BERLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06023-0510
Mailing Address - Country:US
Mailing Address - Phone:860-829-4520
Mailing Address - Fax:
Practice Address - Street 1:316 BERLIN STREET
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06037
Practice Address - Country:US
Practice Address - Phone:860-829-4521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1664-RCH311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility